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Effective: Summer 2014

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2 hours lecture, 3 hours laboratory. (60 hours total per quarter)

Description -
Basic and advanced interventional pulmonology procedures. Procedures to be covered will include bronchoscopy, thoracoscopy, endoscopy, airway access procedures and novel techniques.

Course Objectives -
The student will be able to:
  1. Describe diagnostic interventional pulmonology procedures
  2. Describe therapeutic interventional pulmonology procedures
  3. Explain Thoracoscopy procedures
  4. Describe airway access techniques
  5. Describe other endoscopy and novel techniques
Special Facilities and/or Equipment -
  1. Multimedia classroom
  2. Computer access for online component
  3. Laboratory

Course Content (Body of knowledge) -
  1. Diagnostic procedures
    1. Laryngoscopy
      1. Indications for direct laryngoscopy
    2. Diagnosis of vocal cord function and voice disorders
    3. Biopsy techniques
    4. Bronchoalveolar lavage
    5. Endobronchial ultrasound
    6. Esophageal ultrasound
    7. EBUS guided biopsies
    8. Autofluorescence and imaging techniques
    9. Optical coherence tomography
    10. Image guided bronchoscopy
      1. Virtual bronchoscopic navigation
  2. Therapeutic procedures
    1. Therapeutic bronchoscopy for airway obstruction
      1. Foreign body removal
    2. Airway stents
      1. Metallic stents
      2. Tube stents
      3. Hybrid stents
    3. Electrosurgery
    4. Cryotherapy and cryodebridement
    5. Microdebriders
    6. Laser bronchoscopy
    7. Brachytherapy
    8. Photodynamic therapy
    9. Balloon dilation techniques
    10. Radiation therapy
      1. Fiducial placement
    11. Thermoplasty for severe asthma
    12. Management of subglottic stenosis
    13. Treatment and management of fistulas
    14. Role of bronchoscopy in the management of hemoptysis
    15. Lung volume reduction surgery
      1. Bronchoscopic lung volume reduction
      2. Surgical lung volume reduction
    16. Ablation treatment
    17. Endoscopic lung abscess drainage
    18. Airway reconstructive surgery
    19. Management of post-transplant disorders
  3. Thoracoscopy procedures
    1. Thoracentesis
    2. Chest tube placement
    3. Drain placement
    4. Thoracoscopy and Pleuroscopy procedures
    5. Pleurodesis
    6. VATS surgeical procedures
    7. Management of empyema and pleural effusions
  4. Airway access techniques
    1. Percutaneous tracheostomy
    2. Cricothyroidotomy
    3. Transtracheal oxygen catheter placement
  5. Novel procedures
    1. Natural orifice transluminal endoscopic surgery (NOTES)
    2. Percutaneous endoscopic gastrostomy (PEG) tube placement
    3. Whole lung lavage
Methods of Evaluation -
Methods of evaluation may include, but are not limited to quizzes, midterm, and a comprehensive final examination for knowledge of subject matter. Lab competencies will be evaluated through Objective Structured Clinical Evaluations (OSCE).
Representative Text(s) -
Ernst & Herth, Principles and Practice of Interventional Pulmonology. New York, Springer Publishing, 2013. ISBN: 9781461442912

Disciplines -
Respiratory Technologies
Method of Instruction -
Methods of instruction may include, but are not limited to Lecture, discussion, online modules, tutorials, demonstration and lab competencies demonstrated in skills.
Lab Content -
  1. Patient preparation and evaluation
    1. Checking the order and consulting with the physician
    2. Radiologic exams and other pertinent lab data
    3. Medical history and other pertinent data
    4. Checking in the patient
  2. Anesthesia and pre-op considerations
    1. Administration of medications
    2. Monitoring the patient
  3. Interventional Pulmonology procedure set up
    1. Gathering necessary equipment
    2. Inspecting the equipment
  4. Bronchoscopy assisting
    1. Interprofessional communication
    2. Time out and other safety measures
    3. Specimen collection, handling and labeling
  5. Equipment processing
  6. emergency equipment
  7. Universal precautions and isolation procedures
  8. Charting and follow up
  9. Billing procedures
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Types of required reading and writing may include, but are not limited to weekly reading from the textbook, cooperative learning exercises and online content.