Search

A Boussignac CPAP (B-CPAP) system was assessed in 38 patients with chronic respiratory failure undergoing diagnostic bronchoscopy, to manage hypoxaemia induced by endoscopic manouevers, bronchoalveolar lavage (BAL) in particular. Patients with chronic hypoxaemia, independently from PCO2 levels, were evaluated on spontaneous breathing after topical anaesthesia. B-CPAP allowed safe and effective bronchoscopic procedures also during biopsy sampling and BAL (14 cases), a well known condition of significant oxygen desaturation. According to our study B-CPAP can be considered as an alternative to oro-tracheal intubation and invasive ventilation.

Carcinoids are tumors that originate from diffuse neuroendocrine system cells (APUD cells) and represent 1-2% of all pulmonary tumors. Although surgical resection remains the mainstay of treatment, bronchoscopic radical resection of typical carcinoids in selected cases exhibiting endoluminal growth and small implant base has also been explored. Bronchoscopic removal of endobronchial lesions may also reduce the risk of post-obstructive infections and improve pulmonary function, allowing the patient to undergo surgery in better clinical and respiratory state. In this paper we have evaluated the impact on surgical planning and outcome of preoperative bronchoscopic resection in treatment of endobronchial typical carcinoids. Our observations further support the role of bronchoscopic treatment before surgery in endobronchial typical carcinoids.