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Zealand University Hospital

2 ARTICLES PUBLISHED IN JoVE

JoVE Core

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Uffe Bodtger^1,2, José M. Porcel³, Rahul Bhatnagar^4,5, Nick Maskell^4,5, Mohammed Munavvar^6,7, Casper Jensen¹, Paul Frost Clementsen^1,8, Daniel Bech Rasmussen^1,2

¹Respiratory Research Unit PLUZ, Department of Respiratory Medicine, Zealand University Hospital, ²Institute of Regional Health Research, University of Southern Denmark, ³Pleural Medicine Unit, Department of Internal Medicine, Hospital Universitari Arnau de Vilanova, IRBLleida, ⁴Respiratory Department, Southmead Hospital, North Bristol NHS Trust, ⁵Academic Respiratory Unit, University of Bristol, ⁶Lancashire Teaching Hospitals, ⁷University of Central Lancashire, ⁸Centre for HR and Education, Copenhagen Academy for Medical Education and Simulation

Local anesthetic thoracoscopy (LAT) is essential for diagnosing recurrent, undiagnosed pleural effusion when a guideline-based workup fails to provide a specific cause. LAT can be performed as a day-case procedure by chest physicians. Here, we present a step-by-step approach for a successful and safe procedure.

Medicine

Using the Endoscope for Endobronchial Ultrasound in the Esophagus

Mohammad A. Issa¹, Paul F. Clementsen², Christian B. Laursen^3,4, Peter Vilmann^5,6, Ida S. Christiansen⁷, Laurence Crombag⁸, Uffe Bodtger^1,9

¹Pulmonary Research Unit (PLUZ), Department of Respiratory Medicine, Zealand University Hospital, ²Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen University Hospital, Rigshospitalet, ³Department of Respiratory Medicine, Odense University Hospital, ⁴Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, ⁵Department of Surgery, Copenhagen University Hospital, ⁶Department of Clinical Medicine, University of Copenhagen, ⁷Department of Pathology, Copenhagen University Hospital, Rigshospitalet, ⁸Department of Respiratory Medicine, University Medical Center, University of Amsterdam, ⁹Institute for Regional Health Research, University of Southern Denmark

Transesophageal ultrasound (EUS-B) is a safe and feasible procedure using the echoendobronchoscope (EBUS) in esophagus and stomach. After identifying six anatomical landmarks, additional structures can be identified and biopsied, sparing subsequent diagnostic sessions. Thus, EUS-B is an ideal continuation of bronchoscopy and EBUS in diagnosing lung cancer and other diseases.