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Doctor insights on: Procedure Lung

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What is the normal procedure in a lung biopsy?

What is the normal procedure in a lung biopsy?

Procedure specific: There are 3 different ways to do a lung biopsy. Ct guided uses a needle inserted thru the chest while taking ct scan images. Bronchoscopic involves running a flexible tube into the windpipe. Surgical biopsy involves cuts in the chest, either using a rigid tube (vats), or larger incision for an open biopsy. ...Read more

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Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


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What is the general procedure for a lung biopsy?

What is the general procedure for a lung biopsy?

Several types: • Several approaches are used for lung bx to obtain enough tissue for histologic exam. The simplest is the Needle biopsy. With local anesthesia a needle is guided through the chest wall into a suspicious area CT or CAT scan or fluoroscopy. A transbronchial biopsy is performed through a fiberoptic bronchoscope and a Thoracoscopic biopsy is used with general anesthesia and also allows bx. ...Read more

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Treating a Collapsed Lung (Checklist)

Go to the ER for x-rays and initial treatment
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Use high flow oxygen
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Which procedure does a lung perfusion scan involve?

Which procedure does a lung perfusion scan involve?

Inject radioactive: A perfusion lung scan is done by injectecting a low-dose radioactive tracer into a vein and taking images showing where blood flow is going in the lungs. It is used to diagnose pulmonary embolism (blood clot to the lungs). The test is safe and generally free of any side effects. It is used less often now than ct angiogram, but is safer and involves less radiation exposure. ...Read more

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Yesterday I had colonoscopy with anesthesia (passed out for the whole procedure) and today my lungs hurt. Why, what's the connection?

Yesterday I had colonoscopy with anesthesia  (passed out for the whole procedure) and today my lungs hurt. Why, what's the connection?

R/O COMPLICATION: Often times Propofol is used for anesthesia it is very potent. Rarely when you are recovery from anesthesia, fluid may get into the lungs. This is referred as aspiration. I recommend following up with your GI doctor. If symptoms worsen acutely or fever develops, get immediate evaluation and X-ray to rule out aspiration Pneumonia. ...Read more

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Treating a Lung Nodule (Checklist)

Recognize that most nodules are benign scars, not malignant
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Remember to obtain any previous images possibly showing nodule
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Research whether it's best to follow the nodule or to biopsy it
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Bad fall resulted in a punctured lung, what is the proper procedure for this?

Bad fall resulted in a punctured lung, what is the proper procedure for this?

Evaluation: Serious fall with pulmonary contusion and/or injury needs proper trauma evaluation. Depending on the findings, the individual may require a chest tube. The key to pulmonary injury care/treatment is pulmonary hygiene and appropriate analgesia with procedural interventions as needed to facilitate max lung re-expansion. ...Read more

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Is there a procedure that can remove the fluid around my lungs without requiring general anesthesia?

Is there a procedure that can remove the fluid around my lungs without requiring general anesthesia?

Yes: Thoracentesis, as it is known, involves placing a needle into "pleural space" under local anesthesia and with drawing fluid by a syringe or allowing passive drainage. Certain 'rapidly accumulating" effusions may require hospitalization and placement of a chest tube. ...Read more

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What should I expect as far as procedure and pain with my upcoming amniocentesis? How accurate are the results for lung function test?

What should I expect as far as procedure and pain with my upcoming amniocentesis? How accurate are the results for lung function test?

Not too bad: An ultrasound will ensure a healthy infant & find a good pocket of fluid. Your doc will inform you of the rare risks & obtain consent. Then after a prep, a long thin needle will be placed through the abdomen into the fluid which is removed with a syringe. This part is not too painful. Us ensures a safe procedure & the fluid is sent for tests. Lung maturity tests are accurate to ensure delivery. ...Read more

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Is there a procedure which can assess the extent of damage done to the lungs by smoking, with a history of smoking for 2 years?

Is there a procedure which can assess the extent of damage done to the lungs by smoking, with a history of smoking for 2 years?

Yes: Two years of smoking will do very little measurable damage to the lung in most individuals, but lung function tests can detect tobacco induced damage if it is present. More importantly if you quit now, you can avoid a lifelong accumulation df damage that can lead to lung cancer and or emphysema. ...Read more