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Respir Med Case Rep. 2017 Nov 28;23:38-42. doi: 10.1016/j.rmcr.2017.11.006. eCollection 2018.

A new mode of ventilation for interventional pulmonology. A case with EBUS-TBNA and debulking.

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Pulmonary-Oncology Unit, "Theageneio" Cancer Hospital, Thessaloniki, Greece.
Department of Respiratory and Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece.
Interventional Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Division of Pulmonology, Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Alexandra Hospital, Athens, Greece.
Medical Clinic I, "Fuerth" Hospital, University of Erlangen, Fuerth, Germany.
Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.


Lung cancer is still underdiagnosed mainly due to lack of symptoms. Most patients are diagnosed in a late stage where unfortunately only systematic therapy can be applied. Fortunately in the last five years several novel therapies and combinations have emerged. However; in certain situations local therapeutics modalities have to be applied in order to solve emergency problems as in the case that we will present. Convex-EBUS probe was used along with a novel method of ventilation which keeps PCO2 concentration satisfyingly low.


EBUS; Interventional pulmonology; Lung cancer; Ventilation

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