Search PubMed⌕ Search

PubMed · 3083370

Bronchoscopic laser surgery: which laser when and why.

Abstract

The use of the carbon dioxide (CO2) and neodymium: yttrium aluminum garnet (Nd:YAG) lasers for the endoscopic management of patients with diseases of the tracheobronchial tree is discussed. Advantages and disadvantages of each wavelength are presented. It would appear that there should be unique indications for both of these laser systems; however, each can be used relatively safely and interchangeably if certain precautions are followed.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R H Ossoff. 1986. Bronchoscopic laser surgery: which laser when and why.. https://doi.org/10.1177/019459988609400323

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Ball valve obstruction of a bronchus causing lobar emphysema in a neonate.

Lobar emphysema in the neonate is usually congenital, resulting from cartilage deficiency causing bronchomalacia and distal air trapping. Acquired forms are usually associated with chronic lung disease or endobronchial obstruction such as mucus plugging. We report a pedunculated endobronchial polyp in a 2-month old ex-premature infant causing intermittent hyperinflation of the right middle lobe. The polyp was seen prolapsing in and out of the bronchus intermedius at bronchoscopy. Possible aetiological links with mechanical ventilation are discussed. We also emphasise the value of bronchoscopy prior to lobectomy in cases of congenital lobar emphysema (CLE).

Bronchial Diseases↗

Fatal mephenesin intoxication.

This report describes a death related to the abuse of and intoxication by mephenesin. To the best of our knowledge, this is the first report case of lethal intoxication involving solely mephenesin and reporting mephenesin blood concentrations. The victim was a 48-year-old woman found unconscious at home. Resuscitation was unsuccessful. Toxicological analysis was performed on a blood sample collected during resuscitation. The results being negative, the body was exhumed for an autopsy, which revealed bronchial inhalation syndrome. Analysis in a second laboratory has revealed the presence of mephenesin in samples collected during autopsy. No other drug/toxin was found, and alcohol was negative. Reanalysis of the peripheral blood collected during resuscitation found a mephenesin concentration of 15.81 microg/mL (15-fold greater that the maximum concentration that would result from a single intake of a 500 mg formulation). The pathologist has concluded on a bronchial inhalation syndrome consecutive to a mephenesin overdose as the cause of death. The manner of this death is discussed in the light of the toxicological hair analysis and the medical past of the victim.

Bronchial Diseases↗