Archive for the ‘Laser Bronchoscopy’ Category

Training in Laser Bronchoscopy and Proposals for Credentialling: Proposals to Improve Training and the Ongoing Practice of Laser Bronchoscopy (Part 3)

These or other guidelines might be developed for laser bronchoscopy by professional societies such as the American College of Chest Physicians and the American Thoracic Society. The alternative is far less desirable: placement of constraints by government agencies and third-party payors. Directors of training programs where laser bronchoscopy is practiced should not attempt to train […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Proposals to Improve Training and the Ongoing Practice of Laser Bronchoscopy (Part 2)

The Inter-Society Commission for Heart Disease Resources was far more explicit in addressing the issue of caseload criteria, stating that, “A new cardiac surgical program should reasonably expect to attain an annual rate of 75 pump-assisted procedures within one year, and 200 such procedures within three years of initiation. Within a defined geographic area, the […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Proposals to Improve Training and the Ongoing Practice of Laser Bronchoscopy (Part 1)

At the present time, in my opinion, there are enough physicians in the United States who have completed continuing medical education courses in laser bronchoscopy and are applying what they have learned in their practices. Centers which have offered two- to three-day laser bronchoscopy courses should strongly consider discontinuing this type of course, as we […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Problems Encountered During and ArrER Laser Bronchoscopy Courses (Part 5)

The most important data which were obtained from the questionnaire survey are displayed in Table 3. When analyzing these data, it is important to remember that they represent the experience of physicians two years after they attended our laser bronchoscopy courses. The most disconcerting information in these data are the infrequency with which laser bronchoscopy […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Problems Encountered During and ArrER Laser Bronchoscopy Courses (Part 4)

They have already exhausted other modalities of treatment and have high-grade obstruction of their central airways. The majority of them do not have a simple polypoid lesion which can be removed with the help of a laser in 30 to 45 minutes of operating time. As a consequence, the beginning laser bronchoscopist is usually confronted […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Problems Encountered During and ArrER Laser Bronchoscopy Courses (Part 3)

The data in Table 1 suggest that most laser bronchoscopy course attendees practice in hospitals that already own or plan to acquire YAG lasers soon after the physician attends such a course. On some occasions, the decision to purchase a laser comes at the behest of a hospital administrator who is interested in maintaining an […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Problems Encountered During and ArrER Laser Bronchoscopy Courses (Part 2)

Upon returning to the home practice after attending a laser bronchoscopy course, few physicians have access to animal laboratories to continue practice on such models before beginning to perform laser bronchoscopy in humans. Regardless of whether additional experience with a canine model can be acquired, it is difficult within a local community practice to convince […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Problems Encountered During and ArrER Laser Bronchoscopy Courses (Part 1)

Typically, the greatest interest and concern of the course attendees was to practice use of the rigid bronchoscope, as the majority of course attendees did not have prior training or experience with it. Faculty members most often emphasize that a large proportion of laser bronchoscopy should be done through rigid bronchoscopes and with a general […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Initial Laser Bronchoscopy Training for the Physician Beyond His/Her Formal Training Years (Part 4)

The importance of avoiding discharge of the YAG laser energy onto the plastic endotracheal tube or inside the flexible bronchoscope was emphasized as a fire hazard. Other safety issues, such as meticulous cleansing of the tip of the quartz fiber and keeping it free from blood or mucus, were also stressed. Opportunities to practice both […]

Training in Laser Bronchoscopy and Proposals for Credentialling: Initial Laser Bronchoscopy Training for the Physician Beyond His/Her Formal Training Years (Part 3)

The faculty, in conjunction with vendor representatives, would continue with a demonstration of laser interaction with various materials at which the laser energy could be applied, such as a tongue depressor, fruit, and pieces of meat of different consistencies. Through such demonstrations and subsequent opportunities to fire the lasers at these same objects, the course […]

Pages: 1 2 Next
anosiahuman.com