• Curr Opin Anaesthesiol · Feb 2017

    Review

    New trends in interventional pulmonology.

    • Angela Roberts Selzer, Matthew Murrell, and Eugene Shostak.
    • aDepartment of Anesthesiology bDepartment of Thoracic Surgery, Weill Cornell Medical College, New York City, New York, USA.
    • Curr Opin Anaesthesiol. 2017 Feb 1; 30 (1): 17-22.

    Purpose Of ReviewAs the field of interventional pulmonology continues to expand and develop at a rapid pace, anesthesiologists are increasingly called upon to provide well tolerated anesthetic care during these procedures. These patients may not be candidates for surgical treatment and often have multiple comorbidities. It is important for anesthesiologists to familiarize themselves with these procedures and their associated risks and complications.Recent FindingsThe scope of the interventional pulmonologist's practice is varied and includes both diagnostic and therapeutic procedures. Bronchial thermoplasty is now offered as endoscopic treatment of severe asthma. Endobronchial lung volume reduction procedures are currently undergoing clinical trials and may become more commonplace. Interventional pulmonologists are performing medical thoracoscopy for the treatment and diagnosis of pleural disorders. Interventional radiologists are performing complex pulmonary procedures, often requiring anesthesia.SummaryThe review summarizes the procedures now commonly performed by interventional pulmonologists and interventional radiologists. It discusses the anesthetic considerations for and common complications of these procedures to prepare anesthesiologists to safely care for these patients. Investigational techniques are also described.

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