Semeiotica e diagnostica polmonare

Interventional Pulmonology (IP) is currently experiencing a period of significant growth, driven by rapid technological advances, including the use of ultrasound, navigation systems, and robotics in bronchoscopy. As a result, it has become necessary to design and develop structured, competency-based training programs to be conducted in specialized, high-volume centers, enabling trainees to enhance and refine their knowledge in alignment with modern interventional techniques. This represents a demanding educational pathway, from specialization to ultra-specialization. The text has been developed by the faculty of the Master’s Program in Interventional Pulmonology at the University of Florence, now in its 17th edition, with the valuable contribution of participants from the most recent editions in Italian language. It is primarily intended for residents in Pulmonology and Thoracic Surgery, as well as for specialists embarking on this demanding pathway through structured Master’s programs and courses, while also serving as a reference framework for more experienced professionals. This volume systematically addresses the concept of competence in Interventional Pulmonology following Miller’s framework, starting from the knowledge and skills required to achieve competence in each individual interventional procedure. It also provides information on training and assessment methods, along with a structured outline of the core curriculum for the Interventional Pulmonologist or Thoracic Endoscopist, intended to standardize training and to serve as a guide throughout the professional development.

The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This text presents a thorough examination of diagnostic and therapeutic interventional bronchoscopy. After providing a historical introduction, it goes on to discuss modern and emerging topics and procedures such as laser resection, electrocautery, argon plasma coagulation and cryotherapy.