PubMed Health⌕ Search

PubMed · 11444109

Bronchoscopy. Year 2001 and beyond.

Abstract

The current revolution in technology, imaging, and information processing will be of major influence on bronchoscopy within the next two decades. Clinicians will be able to visualize structures in vivo that up to now only the pathologist could see. Clinicians will reach anatomic structures that are inaccessible by the bronchoscope, yet treat diseases that are still the domain of surgeons, medical oncologists, and radiotherapists. Clinicians will be able to communicate online worldwide, improving standards of patient care, teaching, and finally even perform interventional procedures by way of networks. Because of the exponential growth of sciences like nanotechnology and biotechnology, these changes will come very rapidly. The new quality of these intelligent instruments will demand a new ideological and ethical discourse on the future of science in general.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

H D Becker. 2001. Bronchoscopy. Year 2001 and beyond.. https://doi.org/10.1016/s0272-5231(05)70040-x

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

KEEP EXPLORING

Related citations

Bronchoscopy assisted neonatal tracheostomy (BANT): a new technique.

Neonatal tracheostomy is a complex procedure associated with significant morbidity due to the small size and medical condition of the patient. Standard techniques have been well described and depend on palpation and visual identification of the trachea in the wound. This can at times be exceedingly difficult depending on the anatomical configuration of the neck. The potential for damage to adjacent neurovascular structures increases as dissection strays away from the midline. We describe a new technique that restricts dissection strictly to the midline and ensures accurate placement of the tracheostomy below the first tracheal ring. We feel that this technique will significantly shorten the operative time for the procedure and also reduce the morbidity associated with it.

Bronchoscopes↗

Nosocomial outbreak of Pseudomonas aeruginosa infections related to a flexible bronchoscope.

An outbreak of Pseudomonas aeruginosa infections affecting 17 patients was detected in the 27-bed intensive care unit (ICU) of a community hospital from 1 July to 30 September 2003. An ambidirectional cohort study was conducted to identify the risk factors for infection. Nosocomial infections were defined using the criteria of the Centers for Disease Control and Prevention. Random arbitrary polymorphic DNA-polymerase chain reaction was used for genotypic characterization. Logistic regression analyses demonstrated that case patients were more likely than non-cases to have had a longer stay in the ICU, and to have undergone mechanical ventilation and antimicrobial treatment. The multi-variate analysis identified recent bronchoscopy [risk ratio (RR) 3.8, 95% confidence interval (CI) 2.5-3.9] and exposure to an infected patient (RR 2.9, 95% CI 1.1-3.7) as independent risk factors. Molecular analysis showed that of the nine isolates available, four patients had a similar strain. The factor with the strongest influence on the risk of death was infection with P. aeruginosa (RR 2.1, 95% CI 1.0-2.4, P=0.04). A combined infection control strategy was implemented, including strict compliance with isolation precautions and recommendations for cleaning and disinfecting bronchoscopes, and a sharp reduction in the incidence of P. aeruginosa infection followed. It is thought that this outbreak was caused by patient-to-patient transmission and infection from a common source, i.e. the flexible bronchoscope.

Bronchoscopes↗