MD Learning Channel - Pulmonary, Allergy & Critical Care Medicine
Bronchial Thermoplasty (BT) is an FDA approved procedure for adult patients with severe asthma who remain poorly controlled despite compliance with medical therapy. BT employs heat, delivered by thin wires fed down the airway, to reduce the amount of excess smooth muscle in the airway. The procedure uses the Alair System, developed by Asthmatx Inc., which comprises a specially designed catheter and electrode array to deliver a precise amount of heat energy to the excess smooth muscle. The treatment is performed in three outpatient procedures, typically three weeks apart. This presentation features Mark T. Dransfield, MD, and Jennifer Trevor, MD, performing and providing step-by-step narration of a Bronchial Thermoplasty Procedure.
For more information on UAB's Bronchial Thermoplasty procedure, including consult and referral resources, click here.
COPD in the 21st Century
Mark Dransfield, MD, professor of medicine in the Division of Pulmonary, Allergy & Critical Care Medicine, discusses the clinical and molecular phenotyping, current ongoing clinical trials, the heterogeneity of acute exacerbations, and the future of research in chronic obstructive pulmonary disease (COPD).
Evolving Paradigms in Critical Care
W. Steve Stigler, MD, assistant professor of medicine in the Division of Pulmonary, Allergy, and Critical Care Medicine, reviews evidence for managing acute hypoxemic respiratory failure non-invasively, reviews evidence for targeted "light" sedation in respiratory failure, and discusses potential roles for tele-critical care in a variety of ICU settings.
Extracorporeal Life Support in Advanced Lung Disease
Keith Wille, MD, associate professor of medicine in the Division of Pulmonary, Allergy, and Critical Care Medicine, discusses extracorporeal support techniques including ECMO for respiratory failure, and how this treatment differs from other treatment options.
Lung Nodule Biopsy
Hitesh Batra, MD, Director of the Interventional Pulmonology & Pleural Disease Program at UAB Medicine, performs two bronchoscopies both of which are for lung nodules that are concerning for lung cancer. Both patients have had prior non-diagnostic bronchoscopies and are hoping for a definitive biopsy of the lung nodules.
Mark Dransfield MD, covers two major topics in this presentation from the 2013 UAB Pulmonary and Critical Care Update symposium. Bronchial thermoplasty offers help to those asthma patients who are unable to be adequately controlled despite available medications.