The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection
Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR...
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| Veröffentlicht in: | Chest 2000-08, Vol.118 (2), p.516-521 |
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| creator | Coulter, T D Mehta, A C |
| description | Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR on patients with symptomatic airway lesions.
Prospective observational case series.
One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.
Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.
Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.
EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings. |
| doi_str_mv | 10.1378/chest.118.2.516 |
| format | Article |
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Prospective observational case series.
One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.
Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.
Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.
EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.118.2.516</identifier><identifier>PMID: 10936149</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>United States: American College of Chest Physicians</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Airway management ; Airway Obstruction - etiology ; Airway Obstruction - pathology ; Airway Obstruction - surgery ; Ambulatory Surgical Procedures - methods ; Anesthesia ; Bronchoscopy ; Cost control ; Electrosurgery - instrumentation ; Equipment Design ; Female ; Humans ; Laser Coagulation - methods ; Lasers ; Male ; Middle Aged ; Observation ; Ostomy ; Patients ; Prospective Studies ; Tracheotomy ; Treatment Outcome</subject><ispartof>Chest, 2000-08, Vol.118 (2), p.516-521</ispartof><rights>Copyright American College of Chest Physicians Aug 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10936149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coulter, T D</creatorcontrib><creatorcontrib>Mehta, A C</creatorcontrib><title>The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection</title><title>Chest</title><addtitle>Chest</addtitle><description>Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR on patients with symptomatic airway lesions.
Prospective observational case series.
One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.
Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.
Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.
EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Airway management</subject><subject>Airway Obstruction - etiology</subject><subject>Airway Obstruction - pathology</subject><subject>Airway Obstruction - surgery</subject><subject>Ambulatory Surgical Procedures - methods</subject><subject>Anesthesia</subject><subject>Bronchoscopy</subject><subject>Cost control</subject><subject>Electrosurgery - instrumentation</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Laser Coagulation - methods</subject><subject>Lasers</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observation</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Tracheotomy</subject><subject>Treatment Outcome</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0D1PwzAQBmALgWgpzGzIYmBL8MWOE7NVFV9SBUsZmCJ_haRK4mAnQ_89ligL0-mk5z2dXoSugaRAi_JeNzZMKUCZZmkO_AQtQVBIaM7oKVoSAllCucgW6CKEPYk7CH6OFkAE5cDEEqldY3Fj5YTbgN3wgNt-lHrCrsZ2ME55N-imlR22ndWTd2H2X9YfIsVTTA7WGlw7j99M8rl-xp0M1uOxcZPzNsRE64ZLdFbLLtir41yhj6fH3eYl2b4_v27W22RPMzElUBOjOBGKGsLKkhPOS6FNLgTPpbGMCDCKCaW1yhnkvJAgNGdZxgpjpBZ0he5-747efc-xl6pvg7ZdJwfr5lAVUBSEZCzC239w72Y_xN-qjBAGkLMyopsjmlVvTTX6tpf-UP1VR38AugtwGA</recordid><startdate>20000801</startdate><enddate>20000801</enddate><creator>Coulter, T D</creator><creator>Mehta, A C</creator><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20000801</creationdate><title>The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection</title><author>Coulter, T D ; Mehta, A C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j329t-1f0db609b3d0488606689cd59965ade4091db49bccb541567a19c642247ddac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Airway management</topic><topic>Airway Obstruction - etiology</topic><topic>Airway Obstruction - pathology</topic><topic>Airway Obstruction - surgery</topic><topic>Ambulatory Surgical Procedures - methods</topic><topic>Anesthesia</topic><topic>Bronchoscopy</topic><topic>Cost control</topic><topic>Electrosurgery - instrumentation</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Laser Coagulation - methods</topic><topic>Lasers</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observation</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Tracheotomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coulter, T D</creatorcontrib><creatorcontrib>Mehta, A C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coulter, T D</au><au>Mehta, A C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2000-08-01</date><risdate>2000</risdate><volume>118</volume><issue>2</issue><spage>516</spage><epage>521</epage><pages>516-521</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR on patients with symptomatic airway lesions.
Prospective observational case series.
One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.
Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.
Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.
EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings.</abstract><cop>United States</cop><pub>American College of Chest Physicians</pub><pmid>10936149</pmid><doi>10.1378/chest.118.2.516</doi><tpages>6</tpages></addata></record> |
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| ispartof | Chest, 2000-08, Vol.118 (2), p.516-521 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Airway management Airway Obstruction - etiology Airway Obstruction - pathology Airway Obstruction - surgery Ambulatory Surgical Procedures - methods Anesthesia Bronchoscopy Cost control Electrosurgery - instrumentation Equipment Design Female Humans Laser Coagulation - methods Lasers Male Middle Aged Observation Ostomy Patients Prospective Studies Tracheotomy Treatment Outcome |
| title | The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection |
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