ATS Reading List

Procedures

Bronchoscopy

Best of ATS Video Lecture Series: Bronchoscopy. Part of a larger collection of videos curated by ATS. These videos introduces strategies for preparation, examination, and bronchoalveolar lavage.

Weiss SM, Hert RC, Gianola FJ et al. Complications of fiberoptic bronchoscopy in thrombocytopenic patients. Chest 1993;104:1025-8. Established safety of transnasal bronchs for bronchoalveolar lavage  in thrombocytopenic patients.
PMID: 8404159
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Herth FJF, Becker HD, Ernst A. Aspirin does not increase bleeding complications after transbronchial biopsy. Chest 2002;122:1461-4 Prospective study compared 285 patients taking ASA within 24 hrs of TBB to 932 non-ASA users and found no difference in the risk of minor, moderate, or major bleeding.
PMID: 12377879
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***See also Lung Cancer Staging

Thoracentesis

Swiderek J, Morcos S, Donthireddy V, et al. Prospective study to determine the volume of pleural fluid required to diagnose malignancy. Chest 2010; 137:68-73. Prospective single center study of 103 patients with known or suspected malignant effusion. Three aliquots (10 mL, 60 mL, and >150 mL) were collected from each procedure and examined by direct smear/cytospin and by cell block analysis. Aliquots of 60 mL or >150 mL had significantly higher sensitivity and negative predictive value than aliquots of 10 mL, suggesting larger volumes are of diagnostic benefit. This is in contrast to earlier retrospective and smaller prospective studies suggesting diagnosis was independent of volume (See Chest 2002;122:1913-7, Chest 2009; 135:999-1001)
PMID: 19741064
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Endotracheal intubation

Walz JM, Zayaruzny M, Heard SO. Airway management in critical illness. Chest 2007; 131:608-20. Concise review of the nuts and bolts of endotracheal intubation in critically-ill patients.
PMID: 17296669
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Percutaneous tracheostomies

Lagambina S, Nuccio P, Weinhouse GL. Tracheostomy care: a clinician’s guide. Hosp Pract (Minneap) 2011;39:161-7. This pithy, practical guide offers a quick reference to assist the practicing intensivist/pulmonologist with basic tracheostomy cares.
PMID: 21881403

General Procedural Considerations

Wolfe K, Kress J. Risk of procedural hemorrhage. Chest 2016;150:237-46. Review article addressing the risk factors for hemorrhage associated with procedures commonly performed in the ICU, including central line placement, thoracentesis, paracentesis, lumbar puncture, and others.
PMID: 26836937 

Procedure Videos: The New England Journal of Medicine has developed and published a series of Videos in Clinical Medicine, intended to facilitate teaching and learning of common procedural techniques. Videos and accompanying text provide an excellent review of indications, pertinent techniques, and potential complications. Links to those procedures most applicable to critical care medicine are provided below. Access requires subscription.

Last Reviewed: June 2017