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Division Of Pulmonary, Critical Care And Sleep Medicine

Fiberoptic Bronchoscopy and Interventional Pulmonary Medicine

A modern bronchoscopy suite with fluoroscopy is available for ambulatory and inpatient bronchoscopic procedures.

Fellows have ample opportunities to develop skills in performing bronchoalveolar lavage, endobronchial and transbronchial lung biopsies in addition to endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS) directed procedures using both linear and radial instruments in diagnostic evaluation and staging in patients with suspected intrathoracic malignancy.

Training in procedures such as PleurX catheter placement, talc pleurodesis, tracheal dilation, rigid bronchoscopy, thoracoscopy, endobronchial stenting, balloon bronchoplasty, argon photocoagulation (APC) and cryotherapy are performed when appropriate under the direction of board certified interventional pulmonology faculty. Percutaneous tracheostomies are performed at the bedside on patients with chronic respiratory failure under bronchoscopic guidance at both SSM Health Saint Louis University Hospital and Mercy Hospital St. Louis.

In addition, fellows gain experience in a number of other invasive diagnostic and therapeutic techniques used in pulmonary medicine such as pleuroscopy, pleural biopsy and the placement and management of chest tubes.

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