Internal medicine journal
-
Internal medicine journal · Dec 2001
Bronchoscopic dilatation in the management of benign (non-transplant) tracheobronchial stenosis.
Tracheobronchial stenosis in the adult patient is a recognized postoperative complication of sleeve resection or lung transplantation, but also occurs in medical conditions such as sarcoidosis, tuberculosis, postintubation/tracheostomy or post-radiation. ⋯ Bronchoscopic dilatation is a safe and effective modality in the initial assessment and management of benign tracheobronchial stenosis. Stent placement and Nd:YAG laser therapy complement a dilatation procedure in the combined bronchoscopic treatment of benign tracheobronchial stenosis.
-
Internal medicine journal · Nov 2001
Practice Guideline GuidelineFibre-optic bronchoscopy in adults: a position paper of The Thoracic Society of Australia and New Zealand.
Fibre-optic bronchoscopy in adults is a common procedure in clinical respiratory practice. Under controlled conditions it is safe, resulting in relatively few significant adverse events. ⋯ Where no evidence has been found, the guidelines reflect the opinions of the authors. Specific recommendations are made regarding sedation and anaesthesia, the cleaning of bronchoscopes and the training of bronchoscopists.
-
Internal medicine journal · Nov 2001
Randomized Controlled Trial Clinical TrialRandomized controlled trial of two cigarette quit programmes in coronary care patients after acute myocardial infarction.
Tobacco cessation after acute myocardial infarction (AMI) substantially improves outcome but how effective individual programmes are needs to be established. To date, few studies have examined this factor. ⋯ The SF smoking cessation programme initiated in hospital can significantly reduce smoking rates at 12 months after myocardial infarction. Although superior to the UC quit programme, Australian outcomes were lower than the American programme originators' published outcomes.