Nurse Coordinator Roles and Responsibilities for Bronchoscopic Lung Volume Reduction With Endobronchial Valves

Hazelett, Britney N.; Paton, Alichia; Majid, Adnan; Schreefer, K.; Folch, Erik; Johnson, Margaret M.; Patel, Neal; Abia‐Trujillo, David; Fernández-Bussy, Sebastián

doi:10.1016/j.chest.2020.11.041

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…This multidisciplinary expert team may also propose other therapeutic options ( figure 1 ). Moreover, a nurse coordinator may play a crucial role in the patients’ pathway from referral to follow-up [ 134 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical and bronchoscopic pulmonary function-improving procedures in lung emphysema

Everaerts,

Vandervelde,

Shah

et al. 2023

Eur Respir Rev

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COPD is a highly prevalent, chronic and irreversible obstructive airway disease without curative treatment. Standard therapeutic strategies, both non-pharmacological and pharmacological, have only limited effects on lung function parameters of patients with severe disease. Despite optimal pharmacological treatment, many patients with severe COPD still have a high burden of dyspnoea and a poor quality of life. If these patients have severe lung emphysema, with hyperinflation as the driver of symptoms and exercise intolerance, lung volume reduction may be an effective treatment with a significant impact on lung function, exercise capacity and quality of life. Currently, different lung volume reduction approaches, both surgical and bronchoscopic, have shown encouraging results and have been implemented in COPD treatment recommendations. Nevertheless, choosing the optimal lung volume reduction strategy for an individual patient remains challenging. Moreover, there is still room for improving durability of effect and safety in all available procedures. Ongoing and innovative research is essential to push this field forwards. This review provides an overview of results and limitations of the current lung volume reduction options for patients with severe lung emphysema and hyperinflation.

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Section: Discussionmentioning

confidence: 99%

Surgical and bronchoscopic pulmonary function-improving procedures in lung emphysema

Everaerts,

Vandervelde,

Shah

et al. 2023

Eur Respir Rev

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“…Yet, a meta-analysis resulted in a pooled diagnostic yield (based on these techniques prior to 2010) evidenced 60.9% for lesions ≤ 2 cm—demonstrating the continued challenge to approaching small peripheral nodules [ 5 , 6 ]. Two recent studies—a real-world single-arm cohort and a meta-analysis, respectively—described a 73% yield from ENB for nodules with a median size of 2 cm and a pooled sensitivity for malignancy of 77% with a good safety profile with an average lesion size of 23.2 mm [ 7 , 8 ]. Such reports highlight the need for improved procedural outcomes for small peripheral nodules by developing new bronchoscopy tools and approaches, while maintaining a low complication rate.…”

Section: Introductionmentioning

confidence: 99%

Shape-sensing robotic-assisted bronchoscopy for pulmonary nodules: initial multicenter experience using the Ion™ Endoluminal System

et al. 2021

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Background Traditional bronchoscopy provides limited approach to peripheral nodules. Shape-sensing robotic-assisted bronchoscopy (SSRAB, Ion™ Endoluminal System) is a new tool for minimally invasive peripheral nodule biopsy. We sought to answer the research question: Does SSRAB facilitate sampling of pulmonary nodules during bronchoscopists’ initial experience? Methods The lead-in stage of a multicenter, single-arm, prospective evaluation of the Ion Endoluminal System (PRECIsE) is described. Enrolled subjects ≥ 18 years old had recent computed tomography evidence of one or more solid or semi-solid pulmonary nodules ≥ 1.0 to ≤ 3.5 cm in greatest dimension and in any part of the lung. Subjects were followed at 10- and 30-days post-procedure. This stage provided investigators and staff their first human experience with the SSRAB system; safety and procedure outcomes were analyzed descriptively. Neither diagnostic yield nor sensitivity for malignancy were assessed in this stage. Categorical variables are summarized by percentage; continuous variables are summarized by median/interquartile range (IQR). Results Sixty subjects were enrolled across 6 hospitals; 67 nodules were targeted for biopsy. Median axial, coronal and sagittal diameters were < 18 mm with a largest cardinal diameter of 20.0 mm. Most nodules were extraluminal and distance from the outer edge of the nodule to the pleura or nearest fissure was 4.0 mm (IQR: 0.0, 15.0). Median bronchial generation count to the target location was 7.0 (IQR: 6.0, 8.0). Procedure duration (catheter-in to catheter-out) was 66.5 min (IQR: 50.0, 85.5). Distance from the catheter tip to the closest edge of the virtual nodule was 7.0 mm (IQR: 2.0, 12.0). Biopsy completion was 97.0%. No pneumothorax or airway bleeding of any grade was reported. Conclusions Bronchoscopists leveraged the Ion SSRAB’s functionality to drive the catheter safely in close proximity of the virtual target and to obtain biopsies. This initial, multicenter experience is encouraging, suggesting that SSRAB may play a role in the management of pulmonary nodules. Clinical Trial Registration identifier and date NCT03893539; 28/03/2019.

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Coordination of Care for Expiratory Central Airway Collapse

Hazelett

Paton

Majid

et al. 2023

Chest

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Nurse Coordinator Roles and Responsibilities for Bronchoscopic Lung Volume Reduction With Endobronchial Valves

Cited by 3 publications

References 12 publications

Surgical and bronchoscopic pulmonary function-improving procedures in lung emphysema

Surgical and bronchoscopic pulmonary function-improving procedures in lung emphysema

Shape-sensing robotic-assisted bronchoscopy for pulmonary nodules: initial multicenter experience using the Ion™ Endoluminal System

Coordination of Care for Expiratory Central Airway Collapse

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