NCCP-ICS joint consensus-based clinical practice guidelines on medical thoracoscopy.
Rakesh K Chawla1, Mahendra Kumar2, Arun Madan3
1Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital and Saroj Super Speciality Hospital, New Delhi, India.
Summary
Medical Thoracoscopy (MT) improves diagnosis and patient care for respiratory conditions. Evidence-based guidelines now assist pulmonologists in India with best practices for this procedure.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Procedures
Background:
- Medical Thoracoscopy (MT) is a common procedure for respiratory physicians.
- It serves both diagnostic and therapeutic roles in patient management.
- There was a need for evidence-based guidelines for its application in India.
Purpose of the Study:
- To provide evidence-based information on all aspects of Medical Thoracoscopy.
- To establish consensus-based guidelines for pulmonologists in India.
- To guide the use of MT as a diagnostic tool and therapeutic aid.
Main Methods:
- A systematic literature search was conducted on PubMed, EmBase, and Cochrane.
- Consensus-based guidelines were formulated using 31 questions and a multistep process.
- The modified grade system was employed to classify evidence quality.
Main Results:
- Medical Thoracoscopy enhances diagnosis and patient management while reducing complication risks.
- Diagnostic yields of rigid and semirigid MT techniques are comparable.
- Sterile-graded talc is recommended as the ideal agent for chemical pleurodesis.
Conclusions:
- The developed consensus statement will aid pulmonologists in adopting evidence-based practices for MT.
- Recommendations include a minimum of 20 procedures for trainee competency.
- MT offers improved diagnostic accuracy and therapeutic outcomes in thoracic conditions.
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
253
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
253
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
192
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...
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...
192
01:19Standards of Care II
642
Nurses bear specific legal responsibilities under several federal statutes, including:
642
01:22Standards of Care I
676
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
676
01:27Pneumothorax-II
141
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
141
01:26Flail Chest-II
167
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
167