Research Paper on Using coil therapy to reduce the volume of the lungs through bronchoscopy: problems and treatment

Description

Title: Using coil therapy to reduce the volume of the lungs through bronchoscopy: problems and treatment

Abstract: In the past ten years, bronchoscopic lung volume reduction (BLVR)-based nonsurgical methods have been developed. For patients with homogeneous and heterogeneous end-stage emphysema and a forced expiratory volume in one second (FEV1) of 15–45%, one of these is the BLVR coil procedure. This therapy lessens hyperinflation while enhancing lung function, overall quality of life, and exercise tolerance. Preparing patients for treatment, pre-medical procedures, anesthesia administration, intubation, post-procedure monitoring, and treatments is crucial. Additionally, it has been noted that a number of complications can arise both during and following the procedure. Chronic obstructive pulmonary disease (COPD) exacerbation, chest pain, minor bleeding, pneumonia, pneumothorax, and respiratory failure are the most frequently observed and reported complications. Hiccups, bronchiectasis, bronchopleural fistula and penetration into the pleural space, aspergillus avitation (coil-related aspergilloma), and inflammatory response and opacities associated with coils are all uncommon. Early diagnosis and treatment are essential because common complications are typically minor or moderate while rare ones, with the exception of hiccups, can be potentially fatal. However, BLVR patients experience lower mortality rates than untreated individuals with comparable morbidities. We can predict that premedication the day before and right before the procedure may lessen potential complications based on the results of this review. After the procedure, some medical facilities apply and advise 30-day macrolide treatment. To prevent complications brought on by endotracheal intubation, new generation supraglottic devices may be preferred. Additionally, more study is required to pinpoint risk factors, avoid potential complications, and come to a consensus on routine preventive care.

Keywords: bronchoscopic, lung volume reduction, coil, complication, management

Paper Quality: SCOPUS / Web of Science Level Research Paper

Subject: Advances in Respiratory Medicine

Writer Experience: 20+ Years

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