Cryotherapy and Cryodebridement

Oct 1, 2016 by in RESPIRATORY Comments Off on Cryotherapy and Cryodebridement

Temperature Cellular effect −5°C to −15°C Formation of extracellular crystals causing compression and cell deformity <−15°C slow cool Efflux of intracellular fluid which results in cellular dehydration and toxic increase…

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Techniques for Laryngotracheal Reconstruction

Oct 1, 2016 by in RESPIRATORY Comments Off on Techniques for Laryngotracheal Reconstruction

Tracheal measurement Males (n  =  40) Females (n  =  20) All (n  =  60) Males versus females statistics Length (mm)    Difference between means 6.8 Mean  ±  standard deviation 105.1  ±…

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Radial Endobronchial Ultrasound

Oct 1, 2016 by in RESPIRATORY Comments Off on Radial Endobronchial Ultrasound

Fig. 17.1 View of the trachea with the unsheated probe. An image interpretation is not possible Fig. 17.2 The radial EBUS probe inside the water-fillable balloon sheath, filled and unfilled…

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Malignant Central Airway Obstruction

Oct 1, 2016 by in RESPIRATORY Comments Off on Malignant Central Airway Obstruction

Primary airway tumors Metastases Primary tracheal carcinoma Bronchogenic Adenoid cystic carcinoma Renal cell carcinoma Carcinoid Metastatic melanoma Mucoepidermoid tumor Breast Chondrosarcoma Thyroid Bronchogenic carcinomas Prostate Esophageal cancer Sarcoma Thyroid cancer…

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EBUS Guidance for Peripheral Biopsies

Oct 1, 2016 by in RESPIRATORY Comments Off on EBUS Guidance for Peripheral Biopsies

Fig. 20.1 Radial ultrasound miniprobe (20 MHz UM-S20-17S, Olympus Inc, Tokyo, Japan) introduced via a guide sheath through the working channel of a flexible bronchoscope. On the right, guide sheath…

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Autofluorescence Bronchoscopy and Narrow Band Imaging

Oct 1, 2016 by in RESPIRATORY Comments Off on Autofluorescence Bronchoscopy and Narrow Band Imaging

Fig. 21.1 Principles of autofluorescence: green fluorescence is emitted by normal bronchial tissue when excited by blue light, cancer shows decreased green fluorescence due to increased epithelial thickness and vascularity…

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Esophageal Ultrasound

Oct 1, 2016 by in RESPIRATORY Comments Off on Esophageal Ultrasound

Fig. 19.1 Linear EUS-FNA scope (Hitachi-Pentax FG 34 UX) with a convex linear array ultrasound transducer, sheet, and 22-gauge needle Esophageal ultrasound is performed in fasting patients lying in a…

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Confocal Imaging

Oct 1, 2016 by in RESPIRATORY Comments Off on Confocal Imaging

Fig. 22.1 Principle of confocal microscopy using point illumination and pinhole detection Confocal microscopy that was initially used in gastroenterology utilized a miniaturized scan head located on the distal end…

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Management Principles of Empyema

Oct 1, 2016 by in RESPIRATORY Comments Off on Management Principles of Empyema

Class 1 Nonsignificant Small  <  10 mm thick on decubitus CXR No thoracentesis needed Class 2 Typical parapneumonic > 10 mm thick Glucose  >  40 mg/dl, pH  >  7.20 LDH…

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