REVIEW  COMPETENCE IN INTERVENTIONAL PULMONOLOGY Free access

Panminerva Medica 2019 September;61(3):367-85

DOI: 10.23736/S0031-0808.18.03565-6

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Competences in bronchoscopy for Intensive Care Unit, anesthesiology, thoracic surgery and lung transplantation

Paolo SOLIDORO ¹ ✉, Lorenzo CORBETTA ², Filippo PATRUCCO ³, Massimiliano SORBELLO ⁴, Federico PICCIONI ⁵, Luigia D’AMATO ⁶, Teresa RENDA ⁷, Flavia PETRINI ^{8, 9, 10}

¹ SCDU of Pneumology, AOU Città della Salute e della Scienza di Torino, Molinette Hospital, University of Turin, Turin, Italy; ² Unit of Interventional Pulmonology, University of Florence, Florence, Italy; ³ Unit of Pneumology, Department of Translational Medicine, Sant’Andrea Hospital, University of Piemonte Orientale, Vercelli, Italy; ⁴ Unit of Anesthesiology, Resuscitation, Vittorio Emanuele Policlinic, Catania, Italy; ⁵ Department of Critical Care and Support Therapy, IRCCS Istituto Nazionale dei Tumori Foundation, Milan, Italy; ⁶ Pediatric Intensive Care Unit, AORN “Santobono-Pausilipon”, Naples, Italy; ⁷ Unit of Respiratory and Critical Care, Department of Cardio-thoracic and Vascular, Careggi University Hospital, Florence, Italy; ⁸ Department of Anesthesiology, Resuscitation and Intensive Care, University of Chieti-Pescara, Pescara, Italy; ⁹ Section of Perioperative Medicine, Pain Therapy, Intra-Hospital Emergency and Intensive Care, ASL 2, Lanciano-Vasto-Chieti, Chieti, Italy; ¹⁰ SIAARTI, Rome, Italy

Over the last decades, the use of flexible bronchoscopy has greatly increased in intensive care, anesthesia and thoracic surgery for diagnostic purpose, management of critical patients and to facilitate airway management for tracheal intubation, one lung ventilation and lung transplant management. The huge availability of endoscopic instruments and devices for airway management has amplified indications and possibilities for bronchoscopic procedures performed by intensive care physicians, anesthesiologist, endoscopists, and surgeons too. These practices need adequate technical skills that can be acquired only through defined learning pathways. This manuscript summarizes the indications and the competencies needed to perform bronchoscopic procedures in intensive care, anesthesia and thoracic surgery settings.

KEY WORDS: Education - Pulmonary medicine - Intensive Care Units