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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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COPD: Management Using Bronchodilators and Corticosteroids01:26

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
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Pulmonary Embolism I: Introduction01:29

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Related Experiment Video

Updated: Aug 7, 2025

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
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Forbearance with endobronchial stenting: cognisance before conviction.

Sameer K Avasarala1, Hervé Dutau2, Atul C Mehta3

  • 1Division of Pulmonary, Critical Care, and Sleep Medicine, University Hospitals - Case Western Reserve University School of Medicine, Cleveland, OH, USA.

European Respiratory Review : an Official Journal of the European Respiratory Society
|March 8, 2023
PubMed
Summary

Endobronchial stenting manages airway stenosis but carries risks. Consider airway stenting only when other treatments fail and clinical benefit is proven to avoid complications.

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Area of Science:

  • Interventional Pulmonology
  • Respiratory Medicine
  • Medical Device Technology

Background:

  • Endobronchial stenting is a key procedure in interventional pulmonology.
  • Airway stenosis is the primary indication for endobronchial stent placement.
  • The availability of diverse endobronchial stents, including 3D-printed options, is expanding.

Purpose of the Study:

  • To review the fundamental principles of endobronchial stenting.
  • To identify clinical scenarios where airway stenting is indicated.
  • To outline situations where endobronchial stenting should be avoided.

Main Methods:

  • Review of current literature and clinical practices in endobronchial stenting.
  • Analysis of indications, contraindications, and potential complications.
  • Discussion of stent-airway interactions and patient-specific stent applications.

Main Results:

  • Airway stenting is reserved for significant airway stenosis when conservative measures are insufficient.
  • Stent-related complications are frequent due to the airway environment and stent-tissue interface.
  • Patient-specific 3D-printed stents represent a recent advancement in airway stenting technology.

Conclusions:

  • Endobronchial stenting should only be employed when a clear clinical benefit is established.
  • Unwarranted stent placement risks patient harm without therapeutic gain.
  • Careful consideration of indications and potential complications is crucial for safe and effective airway stenting.