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Advances in interventional pulmonology

Ross, Alan Fredericka; Ferguson, J Scottb

Current Opinion in Anesthesiology: February 2009 - Volume 22 - Issue 1 - p 11–17
doi: 10.1097/ACO.0b013e32831d7b5b
Thoracic anesthesia: Edited By Javier Campos

Purpose of review Interventional pulmonology is a rapidly expanding field offering less invasive therapeutic procedures for significant pulmonary problems. Many of the therapies may be new for the anesthesiologist. Although less invasive than surgery, some of these procedures will carry significant risks and complications. The team approach by anesthesiologist and pulmonologist is key to the success of these procedures.

Recent findings Many modalities for central airway obstruction have emerged, including the expanding application of airway stenting procedures. Diagnostic bronchoscopy with ultrasound guidance promises great advances in lung cancer staging. New bronchoscopic treatments of asthma and emphysema are actively under investigation. Advances in anesthetic agents and techniques for interventional pulmonology procedures have also occurred.

Summary This review is intended to familiarize the anesthesiologist with current and rising therapeutic modalities for pulmonary disease. Knowledge of interventional pulmonology facilitates planning and preparation for well tolerated and effective procedures.

aDepartment of Anesthesia, USA

bDivision of Pulmonary and Critical Care, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA

Correspondence to Alan F. Ross, MD, 6410 JCP Department of Anesthesia, University of Iowa Healthcare, 200 Hawkins Drive, Iowa City, IA 52242, USA E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.