Advertisement

Utility of Bronchoscope in Thoracic Surgery

  • Antonio Villalonga
  • Mohamed El Tahan
Chapter
  • 224 Downloads

Abstract

This chapter presents the uses of reusable and single-use flexible bronchoscopy for diagnostic and therapeutic interventions. It also emphasizes the recommendations for safe bronchoscopy and crucial roles of anesthesiologists to provide safe sedation or anesthesia during these interventions particularly in the bronchoscopy cabinet and during the perioperative period of thoracic surgery.

Keywords

Anesthesia Bronchoscope Single-use Reusable Therapeutic Diagnostic Thoracic surgery Complications 

References

  1. 1.
    Ikeda S, Yanai N, Ishikawa S. Flexible bronchofiberscope. Keio J Med. 1968;17:1–16.CrossRefGoogle Scholar
  2. 2.
    Murphy P. A fibre-optic endoscope used for nasal intubation. Anaesthesia. 1967;22:489–91.CrossRefGoogle Scholar
  3. 3.
    Ovassapian A. Fiberoptic endoscopy and the difficult airway. 2nd ed. Philadelphia, PA: Lippincott; 1996.Google Scholar
  4. 4.
    Villalonga Morales A. Fibroscopia en anestesiología y reanimación. Madrid: Ergon; 2005.Google Scholar
  5. 5.
    Zaidi SR, Collins AM, Mitsi E, Reiné J, Davies K, Wright AD, et al. Single use and conventional bronchoscopes for Broncho alveolar lavage (BAL) in research: a comparative study (NCT 02515591). BMC Pulm Med. 2017;17:83.  https://doi.org/10.1186/s12890-017-0421-7.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Marshall DC, Dagaonkar RS, Yeow C, Peters AT, Tan SK, Tai DY, et al. Experience with the use of single-use disposable bronchoscope in the ICU in a tertiary referral center of Singapore. J Bronchol Interv Pulmonol. 2017;24:136–43.CrossRefGoogle Scholar
  7. 7.
    Baker PA, Weller JM, Baker MJ, Hounsell GL, Scott J, Gardiner PJ, Thompson JMD. Evaluating the ORSIM® simulator for assessment of anaesthetists’ skills in flexible bronchoscopy: aspects of validity and reliability. Br J Anaesth. 2016;117(Suppl. 1):i87–91.CrossRefGoogle Scholar
  8. 8.
    Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. British Thoracic Society Guideline for diagnostic flexible bronchoscopy in adults. Thorax. 2013;68:i1–i44.CrossRefGoogle Scholar
  9. 9.
    Andolfi M, Potenza R, Capozzi R, Liparulo V, Puma F, Yasufuku K. The role of bronchoscopy in the diagnosis of early lung cancer: a review. J Thorac Dis. 2016;8:3329–37.CrossRefGoogle Scholar
  10. 10.
    Sardi AH, Islam S. Early lung cancer detection, mucosal, and alveolar imaging. Curr Opin Pulm Med. 2016;22:271–80.CrossRefGoogle Scholar
  11. 11.
    Selzer AR, Murrell M, Shostak E. New trends in interventional pulmonology. Curr Opin Anesthesiol. 2017;30:17–22.Google Scholar
  12. 12.
    Dhillon SS, Harris K. Bronchoscopy for the diagnosis of peripheral lung lesions. J Thorac Dis. 2017;9(Suppl 10):S1047–58.CrossRefGoogle Scholar
  13. 13.
    He Q, Wang Q, Wu Q, Feng J, Cao J, Chen BY. Value of autofluorescence imaging videobronchoscopy in detecting lung cancers and precancerous lesions: a review. Respir Care. 2013;58:2150–9.CrossRefGoogle Scholar
  14. 14.
    Yamada G, Shijubo N, Kitada J, Takahashi M, Otsuka M, Fujii M, Takahashi H. Decreased subepithelial microvasculature observed by high magnification bronchovideoscope in the large airways of smokers. Intern Med. 2008;47:1579–83.CrossRefGoogle Scholar
  15. 15.
    d'Hooghe JNS, Goorsenberg AWM, de Bruin DM, Roelofs JJTH, Annema JT, Bonta PI. Optical coherence tomography for identification and quantification of human airway wall layers. PLoS One. 2017;12(10):e0184145.CrossRefGoogle Scholar
  16. 16.
    Wellikoff AS, Holladay RC, Downie GH, Chaudoir CS, Brandi L, Turbat-Herrera EA. Comparison of in vivo probe-based confocal laser endomicroscopy with histopathology in lung cancer: a move toward optical biopsy. Respirology. 2015;20:967–74.CrossRefGoogle Scholar
  17. 17.
    d'Hooghe JNS, Goorsenberg AWM, de Bruin DM, Roelofs JJTH, Annema JT, Bonta PI, Gompelmann D, Herth FJF. Role of endobronchial and endoscopic ultrasound in pulmonary medicine. Respiration. 2014;87:3–8.CrossRefGoogle Scholar
  18. 18.
    Ali MS, Trick W, Mba BI, Mohananey D, Sethi J, Musani AI. Radial endobronchial ultrasound for the diagnosis of peripheral pulmonary lesions: a systematic review and meta-analysis. Respirology. 2017;22:443–53.CrossRefGoogle Scholar
  19. 19.
    Han KN, Kim HK. The feasibility of electromagnetic navigational bronchoscopic localization with fluorescence and radiocontrast dyes for video-assisted thoracoscopic surgery resection. J Thorac Dis. 2018;10(Suppl 6):S739–48.CrossRefGoogle Scholar
  20. 20.
    Short MA, Lam S, McWilliams AM, Ionescu DN, Zeng H. Using laser Raman spectroscopy to reduce false positives of autofluorescence bronchoscopies: a pilot study. J Thorac Oncol. 2011;6:1206–14.CrossRefGoogle Scholar
  21. 21.
    Ernst A, Simoff M, Ost D, Goldman Y, Herth FJF. Prospective risk-adjusted morbidity and mortality outcome analysis after therapeutic bronchoscopic procedures: results of a multiinstitutional outcomes database. Chest. 2008;134:514–9.CrossRefGoogle Scholar
  22. 22.
    Slebos D-J, Shah PL, Herth FJF, Valipour A. Endobronchial valves for endoscopic lung volume reduction: best practice recommendations from expert panel on endoscopic lung volume reduction. Respir Int Rev Thorac Dis. 2017;93:138–50.Google Scholar
  23. 23.
    Flandes J, Soto FJ, Cordovilla R, Cases E, Alfayate J. Bronchoscopic lung volume reduction. Clin Chest Med. 2018;39:169–80.CrossRefGoogle Scholar
  24. 24.
    Klooster K, ten Hacken NH, Hartman JE, et al. Endobronchial valves for emphysema without interlobar collateral ventilation. N Engl J Med. 2015;373:2325–35.CrossRefGoogle Scholar
  25. 25.
    Sciurba FC, Criner GJ, Strange C, et al. Effect of endobronchial coils vs usual care on exercise tolerance in patients with severe emphysema: the RENEW randomized clinical trial. JAMA. 2016;315:2178–89.CrossRefGoogle Scholar
  26. 26.
    Kemp SV, Shah DL. An update on bronchoscopic treatments for chronic obstructive pulmonary disease. Curr Opin Pulm Med. 2016;22:265–70.CrossRefGoogle Scholar
  27. 27.
    Lee JA, Rowen DW, Rose DD. Bronchial thermoplasty: a novel treatment for severe asthma requiring monitored anesthesia care. AANA J. 2011;79:480–3.PubMedGoogle Scholar
  28. 28.
    Kheir F, Majid A. Bronchial thermoplasty: a nonpharmacologic therapy for severe asthma. Clin Chest Med. 2018;39:261–9.CrossRefGoogle Scholar
  29. 29.
    Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcomes. Respir Care. 2014;59:895–919.CrossRefGoogle Scholar
  30. 30.
    Jose RJ, Shaefi S, Navani N. Anesthesia for bronchoscopy. Curr Opin Anesthesiol. 2014;27:453–7.CrossRefGoogle Scholar
  31. 31.
    Goudra BG, Singh PM, Borle A, Farid N, Harris K. Anesthesia for advanced bronchoscopic procedures: state-of-the-art review. Lung. 2015;193:453–65.CrossRefGoogle Scholar
  32. 32.
    Kern M, Kerner T, Tank S. Sedation for advanced procedures in the bronchoscopy suite: proceduralist or anesthesiologist? Curr Opin Anesthesiol. 2017;30:490–5.CrossRefGoogle Scholar
  33. 33.
    Carmi U, Kramer MR, Zemtzov D, et al. Propofol safety in bronchoscopy: prospective randomized trial using transcutaneous carbon dioxide tension monitoring. Respiration. 2011;82:515–21.CrossRefGoogle Scholar
  34. 34.
    Grendelmeier P, Tamm M, Pflimlin E, Stolz D. Propofol sedation for flexible bronchoscopy: randomized, noninferiority trial. Eur Respir J. 2014;43:591–601.CrossRefGoogle Scholar
  35. 35.
    Yoon HI, Kim J-H, Lee J-H, et al. Comparison of propofol and the combination of propofol and alfentanil during bronchoscopy: a randomized study. Acta Anaesthesiol Scand. 2011;55:104–9.CrossRefGoogle Scholar
  36. 36.
    de Lima A, Kheir F, Majid A, Pawlowski J. Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy. Can J Anaesth. 2018;65:822–36.CrossRefGoogle Scholar
  37. 37.
    Ryu JH, Lee SW, Lee JH, et al. Randomized double-blind study of remifentanil and dexmedetomidine for flexible bronchoscopy. Br J Anaesth. 2012;108:503–11.CrossRefGoogle Scholar
  38. 38.
    Cai Y, Li W, Chen K. Efficacy and safety of spontaneous ventilation technique using dexmedetomidine for rigid bronchoscopic airway foreign body removal in children. Paediatr Anaesth. 2013;23:1048–53.CrossRefGoogle Scholar
  39. 39.
    Wang HB, Yang CX, Zhang B, et al. Efficacy of target-controlled infusion of propofol and remifentanil with high frequency jet ventilation in fibre-optic bronchoscopy. Singap Med J. 2013;54:689–94.CrossRefGoogle Scholar
  40. 40.
    Glanville AR. Bronchoscopic monitoring after lung transplantation. Semin Respir Crit Care Med. 2010;31:208–21.CrossRefGoogle Scholar
  41. 41.
    Mohanka MR. Impact of bedside bronchoscopy in critically ill lung transplant recipients. J Bronchol Intervent Pulmonol. 2014;21:199–207.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Antonio Villalonga
    • 1
  • Mohamed El Tahan
    • 2
    • 3
  1. 1.Department of Anesthesia and Intensive CareCentre Hospitalier MonkoleKinshasaCongo
  2. 2.Anesthesiology DepartmentKing Fahd Hospital of the Imam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
  3. 3.Department of Anaesthesia and Surgical Intensive CareMansoura UniversityMansouraEgypt

Personalised recommendations