Bronchoscopy and Central Airway Disorders: A Patient-Centered Approach 2012 PDF

Bronchoscopy and Central Airway Disorders: A Patient-Centered Approach 2012 PDF
by Henri Colt (Author), Septimiu Murgu (Author)

Bronchoscopy and Central Airway Disorders provides the guidance you need to plan and implement the most effective bronchoscopy procedure for every patient. Through specifically-designed case scenarios with correlating review questions and videos, this practical respiratory medicine reference leads you through the decision-making process and execution of these sometimes complex procedures, as well as the optimal long-term management of your patients.

Master various bronchoscopic approaches and techniques necessary to treat a variety of malignancies that may occur in the trachea or lungs.
Consider the rationale and weigh the consequences of each approach. Case resolutions at the end of each chapter –with commentary and alternative approaches from 36 key experts in interventional bronchoscopy — illustrate the decision-making process from patient evaluation through long-term management.
Reinforce learning by correlating key concepts and practice through study questions related to each clinical scenario.
See exactly how to proceed with high-quality videos online that capture crucial teaching moments and provide a walkthrough of sometimes complex procedures including the placement of airway stents via bronchoscopy for a variety of diseases and complications, such as airway collapse due to COPD.
Systematically think through diagnostic and interventional (therapeutic) bronchoscopic procedures using Dr. Colt’s unique "Four Box" approach: Initial Evaluation; Procedural Techniques and Results; Procedural Strategies; and Long-term Management Plan.
Access the full text online at www.expertconsult.com, along with image and video libraries, review questions, and more!The case-based guidance you need to work through the decision-making process behind bronchoscopy and ultimately improve patient care.

This  book  is  for  all  health  care  providers  caring  for patients with central airway disorders. It is particularly written  for  those  practitioners  known  as  interventional bronchoscopists, who perform procedures to restore and maintain  airway  patency  in  patients  suffering  from  the effects  of  various  forms  of  central  airway  obstruction. 
When  one  considers  the  number  of  patients  with  lifealtering or life-threatening tracheobronchial disease either as  a  result  of  focal  airway  abnormalities  or  systemic illness, it is hard to believe there was once a time, just a few  years  ago,  when  these  sub-subspecialists  were  few and far between. During those early years, interventional bronchoscopists  were  often  perceived  as  proceduralists rather than as clinician-researchers, providing diagnosis via the bronchoscope, infrequently reflecting on how centrally  obstructing  airway  disorders  would  fall  into  the realm of a multidisciplinary approach to patient care. As early adopters of technology, their move into therapeutics,  primarily  the  relief  of  central  airway  obstruction 
using bronchoscopic resectional techniques, was accompanied  by  a  need  to  convince  their  peers  of  the  value of  these  activities.  This  required  a  focus  on  describing techniques and demonstrating results.
The past 10 years have seen an even greater flourish in what this specialty has to offer. Today interventional 
bronchoscopy has become the subject of increased recognition by international societies, medical journal editors, instrument  manufacturers,  basic  scientists  intrigued  by airway  pathology,  physiologists,  molecular  biologists, biomedical engineers, and clinicians from numerous specialties. Tertiary care university training centers have recognized its value, and many whisper that in addition to sleep medicine and critical care, interventional pulmonology contributes to the triumvirate forming the future of pulmonary medicine. Technology remains at its forefront, such that the scope of practice has expanded to include early detection of lung cancer and other malignant disorders,  mediastinal  staging,  incorporation  of  optical  and acoustic imaging into multimodality platforms to enhance diagnosis  and  treatment,  studies  of  airway  dynamics, assistance with open surgical resection, minimally invasive image-guided access to peripheral nodules, bronchoscopic management of asthma, chronic obstructive lung disease, and fistulas and tracheomalacia. In addition, it has warranted collaborative efforts with surgical specialists, interventional radiologists, and cancer specialists to identify patients who might benefit from targeted therapy. 
Another major element of the bronchoscopist’s practice is  of  course  devoted  to  disease  diagnosis,  evaluation, and  the  relief  of  airway  obstruction  using  a  variety  of minimally invasive instruments and techniques.In addition to publishing original research and review papers and providing case demonstrations, didactic lectures, or hands-on workshops using low- and high-fidelity simulation, many experts in the field are devoting their surplus energies to education, enhancing overall competency, and augmenting opportunities for patients to have access to even more expert practitioners and novel technologies. The need for global dissemination of knowledge and techniques has now prompted a turn toward standardizing  educational  content  and  uniform  teaching methodologies  in  addition  to  exploring  ways  in  which 
social media and textbooks that include online access to learning  materials  (such  as  this  one)  might  be  used  to assist in these tasks.
Several  traditionally  formatted  books  have  been written, most of which describe quite well the technology and outcomes of many interventional procedures. However, none of these specifically addresses in a structured manner the multifaceted skills necessary to becoming a well-rounded,  accomplished,  and  experienced  practitioner of this highly technical and creative discipline. Some experts might argue that a book that addresses the consultative,  reflective,  procedural,  and  technical  aspects  of interventional bronchoscopy is not necessary or, if written, should consist of an abundance of chapters accompanied 
by a summary of the literature written by a multitude of specialists in the field, each providing his or her own point of view. To our knowledge, none of the existing books on interventional bronchoscopy has proposed to have the purpose we have set for Bronchoscopy and Central Airway Disorders: A Patient-Centered Approach

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