Thoracentesis

Oct 1, 2016 by in RESPIRATORY Comments Off on Thoracentesis

Volume of pleural fluid Physical examination findings <250–300 cm3 Probable normal examination 500 cm3 1. Dullness to percussion 2. Decreased fremitus 3. Normal vesicular breath sounds but decreased intensity 1,000…

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Brachytherapy

Oct 1, 2016 by in RESPIRATORY Comments Off on Brachytherapy

Score Hemoptysis 0 None 1 Less than twice per week 2 Less than once daily but greater than twice per week 3 Daily, bright red blood or clot 4 Decrease…

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Chest Tube Placement

Oct 1, 2016 by in RESPIRATORY Comments Off on Chest Tube Placement

•Pneumothorax  °Tension pneumothorax (idiopathic, traumatic pneumothorax with valve mechanism, etc.)  °Pneumothorax on mechanical ventilation  °Persistent or recurrent iatrogenic pneumothorax after needle aspiration  °Symptomatic pneumothorax  °Large pneumothorax •Malignant pleural effusion •Empyema…

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Microdement

Oct 1, 2016 by in RESPIRATORY Comments Off on Microdement

Fig. 34.1 Serrated microdebrider blade Fig. 34.2 Handpiece with suction tubing attached Fig. 34.3 Console and foot pedal History of the Microdebrider Dr. Jack Urban is credited with the development…

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Endoscopic Asthma Treatment

Oct 1, 2016 by in RESPIRATORY Comments Off on Endoscopic Asthma Treatment

Fig. 51.1 Alair® Bronchial Thermoplasty Catheter (in expanded position) and Alair RF Controller that delivers radiofrequency energy It is important at the first bronchoscopy to survey and map the subject’s…

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Metallic Stenting

Oct 1, 2016 by in RESPIRATORY Comments Off on Metallic Stenting

Fig. 28.1 Some self-expanding metallic airway stents in current use. Top left: a covered Ultraflex stent, showing the technique of grabbing the suture wound circumferentially around the proximal end of…

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Airway Imaging

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

Fig. 8.1 Nonenhanced thin-section CT scan of a 26-year-old female who underwent bilateral lung transplantation 6 months before due to cystic fibrosis. She went to hospital due to recurrent fever,…

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Bronchoalveolar Lavage

Oct 1, 2016 by in RESPIRATORY Comments Off on Bronchoalveolar Lavage

Diagnosis BAL features Alveolar hemorrhage Macroscopically bloody Increased intensity from fraction to fraction Free red blood cells Hemosiderin-laden macrophages Fragmented red blood cells in the alveolar macrophages ≥20% siderophages Alveolar…

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Montgomery T-Tubes

Oct 1, 2016 by in RESPIRATORY Comments Off on Montgomery T-Tubes

Fig. 31.1 T-tube (Printed with permission from Hood Laboratory) Fig. 31.2 Variation of T-tubes (Printed with permission from Hood Laboratory) The T-tube size ranges from the pediatric 6.0 mm diameter…

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Physiology of Fixed Airway Obstruction

Oct 1, 2016 by in RESPIRATORY Comments Off on Physiology of Fixed Airway Obstruction

Fig. 7.1 Flow through tubes. (a), laminar flow. (b), transitional flow. (c), turbulent flow. (d), with turbulent flow, a higher pressure is required to maintain the flow rate, and the…

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