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.

Zarogoulidis P¹, Huang H², Bai C², Kosmidis C³, Porpodis K⁴, Kallianos A⁵, Veletza L⁵, Trakada G⁵, Benhassen N⁶, Hohenforst-Schmidt W⁷.

Author information

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

Abstract

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.