TY - JOUR
T1 - A new and safe mode of ventilation for interventional pulmonary medicine
T2 - The ease of nasal superimposed high frequency jet ventilation
AU - Hohenforst-Schmidt, Wolfgang
AU - Zarogoulidis, Paul
AU - Huang, Haidong
AU - Man, Yan Gao
AU - Laskou, Stella
AU - Koulouris, Charilaos
AU - Giannakidis, Dimitris
AU - Mantalobas, Stylianos
AU - Florou, Maria C.
AU - Amaniti, Aikaterini
AU - Steinheimer, Michael
AU - Sinha, Anil
AU - Freitag, Lutz
AU - Turner, J. Francis
AU - Browning, Robert
AU - Vogl, Thomas
AU - Roman, Andrei
AU - Benhassen, Naim
AU - Kesisoglou, Isaak
AU - Sapalidis, Konstantinos
N1 - Publisher Copyright:
© Ivyspring International Publisher.
PY - 2018
Y1 - 2018
N2 - We use pulmonary interventional procedures for the diagnosis of pulmonary diseases either for benign or malignant lesions. Flexible bronchoscopy with or without radial endobronchial ultrasound, convex-probe endobronchial ultrasound and electromagnetic navigation are procedures performed in centers with experience in diagnostic pulmonary medicine. The method of sedation and ventilation is very important in order to avoid or handle with success complications. Proper respiration during pulmonary (or other interventional) procedures is a key factor. Apart from the proper sedation method we have to choose the proper ventilation method which decides respiratory movement. Superimposed high-frequency jet ventilation (SHFJV) is supposed to be safe and effective in clinical practice. Although this perception is commonly accepted, there is no study proving its safety on the basic of reliable data. We analyzed the data of 100 patients in different interventional settings (bronchoscopy with or without navigational approach, left atrial appendage closure (LAAC) or intracardiac catheterization) using nasal SHFJV. Mainly analyzed were capillary ABG-Data at the beginning and end of the intervention under sedation. The aim was to analyze if a risk scenario for the patient by using the nasal SHFJV can be derived by measuring the changes of pCO2, pO2, cBase Excess, cHCO3 and PH. Due to our data we conclude that this method of ventilation can be easily and safely used in interventional medicine for patients with all kind of comorbidities such as; chronic respiratory disease, lung cancer, interstitial lung disease, structural heart disease and heart failure.
AB - We use pulmonary interventional procedures for the diagnosis of pulmonary diseases either for benign or malignant lesions. Flexible bronchoscopy with or without radial endobronchial ultrasound, convex-probe endobronchial ultrasound and electromagnetic navigation are procedures performed in centers with experience in diagnostic pulmonary medicine. The method of sedation and ventilation is very important in order to avoid or handle with success complications. Proper respiration during pulmonary (or other interventional) procedures is a key factor. Apart from the proper sedation method we have to choose the proper ventilation method which decides respiratory movement. Superimposed high-frequency jet ventilation (SHFJV) is supposed to be safe and effective in clinical practice. Although this perception is commonly accepted, there is no study proving its safety on the basic of reliable data. We analyzed the data of 100 patients in different interventional settings (bronchoscopy with or without navigational approach, left atrial appendage closure (LAAC) or intracardiac catheterization) using nasal SHFJV. Mainly analyzed were capillary ABG-Data at the beginning and end of the intervention under sedation. The aim was to analyze if a risk scenario for the patient by using the nasal SHFJV can be derived by measuring the changes of pCO2, pO2, cBase Excess, cHCO3 and PH. Due to our data we conclude that this method of ventilation can be easily and safely used in interventional medicine for patients with all kind of comorbidities such as; chronic respiratory disease, lung cancer, interstitial lung disease, structural heart disease and heart failure.
KW - Bronchoscopy
KW - Conebeam computertomography
KW - Endobronchial navigation
KW - Endobronchial ultrasound
KW - Interventional medicine
KW - Jet-ventilation
KW - Lung cancer
KW - Minimal-invasive techniques
UR - http://www.scopus.com/inward/record.url?scp=85042209508&partnerID=8YFLogxK
U2 - 10.7150/jca.23737
DO - 10.7150/jca.23737
M3 - Article
AN - SCOPUS:85042209508
SN - 1837-9664
VL - 9
SP - 816
EP - 833
JO - Journal of Cancer
JF - Journal of Cancer
IS - 5
ER -