Robot/pEBUS Lung Nodule Stratification

04/14/2021 by Avi Cohen

Pre-procedural NPO Requirements

09/24/2020 by Avi Cohen

Ingested Material	Minimum Fasting Period
Clear Liquids¹	2 hours
Breast Milk	4 hours
Infant Formula	6 hours
Non-human milk²	6 hours
Light meal³	6 hours
Fried/fatty foods or meat	8 hours or more

Fasting periods apply to all age groups.

¹Examples of clear liquids include water, fruit juice without pulp, carbonated beverages, clear tea and black coffee.

²Since non-human milk is similar to solids in gastric emptying, the amount ingested must be considered when determining an appropriate fasting time.

³A light meal typically consists of toast and clear liquids. Meals that include fried or fatty foods or meat may prolong gastric emptying time. Both the amount and type of foods ingested must be considered when determining an appropriate fasting period.

Chest Tubes and Review Schedule Through 11/2020

09/15/2020 by Avi Cohen

Chest Tubes:
10/16 AC then JD (in ICU if in his unit)
10/23 MS then RP
10/30 RP
11/07 AC
11/14 JD

Reviews:
9/21 LD
9/28 RP
10/05 JD
10/12 Interviews, so not sure
Bronch 2 as bronch suite open after this date

EPIC Procedure Order Set

09/14/2020 by Avi Cohen

On the top toolbar, click Customization Tools
Select Preference List Compose

Make sure Show inpatient preference lists is checked
Select PROCEDURES PREFERENCE LIST IP
Click Copy User

Change From User to COHEN, AVI
Change To User to YOUR NAME
Select Replace
Select Procedures (Inpatient)
Click Copy

Bronchoscopic Lung Volume Reduction (BLVR)

01/14/2020 by Avi Cohen

medical illustrations of Zephyr® Endobronchial Valve procedure — Using a standard bronchoscope, one-way bronchial valves are delivered to target airways using a flexible delivery catheter. Once implanted, the one-way valve prevents airflow into the diseased region, while allowing trapped air and fluids to escape. Reducing the volume of the diseased region may allow healthier regions to expand and function more efficiently.

Making Breathing Easier for Patients Living with COPD

COPD, or chronic obstructive pulmonary disease, is a common preventable and treatable disease. Symptoms include difficulty breathing, wheezing, chest tightness and cough. COPD is caused by exposure to certain particles and gases such as cigarette smoke.

In June 2018, the valves were the first device approved by the U.S. Food and Drug Administration to treat severe COPD. The valves range in size from 4.0 millimeters to 8.5 millimeters.

Henry Ford Hospital is the first hospital in metro Detroit to offer the endobronchial valve procedure as a new treatment option that makes breathing easier for patients living with the lung disease COPD.

FAQs about The Endobronchial Valve Procedure

What are the benefits?

You will be able to breathe easier and you’ll feel more active and energetic. It will also improve your lung function.

Who is a candidate?

Candidates are those with severe COPD who consistently feel shortness of breath, despite the use of medication and/or oxygen. Your pulmonologist will discuss with you if the procedure is the best option.

What to expect the day of the procedure?

During the procedure, tiny one-way bronchial valves are implanted in the lungs to block off the diseased parts of the lungs and allow the healthier parts to expand and function more efficiently. This makes it easier for you to breathe and for your lungs to function better.

Typically, the procedure last about one hour and is performed under general anesthesia. You can expect to be hospitalized for three to five days.

Request an Appointment Online

Call for an Appointment: (313) 916 – 1063