Michael Pritchett

@Rabdelgh @ahalraiyes @AlaEddinSagar @OtisBRickman @thakore_sanket @PCubedMD @BhadraCondra @Donicme @TulanePCCM Crushing it! So nice. Congrats.

Cool case: 4.5mm partially solid PET-Avid LLL nodule. Used High PEEP/Tidal volume and wedged left side up to decrease dependent atelectasis. Navigated with Ion and adjusted with Philips CBCT. ROSE positive for Adenocarcinoma. Exciting times in lung cancer care! #ION #cbct

@PannuJasleen Medtronic superlock fiducial. Formerly known as the Cobra.

#MedTwitter what is this object?

@MaldonadoFabien @VUMChealth Not really robot vs. ENB. This is robot vs. ENB + Tomosynthesis. Big difference.

@Rabdelgh @BhadraCondra @ahalraiyes @thakore_sanket @PCubedMD @OtisBRickman Fantastic!

Growing LUL pleural based lesion with no airway leading to it and negative on IR biopsy. Was able to navigate close (within 2cm) to the lesion, biopsy, and adjust using CBCT. Positive for poorly differentiated carcinoma. I would have never tried this without CBCT and Robotics.

One of a kind: the 1st Bronchoscopic Ablation Summit -- this program is endorsed by the #WABIP wabip.com/events/564-1st…

@Rabdelgh @ahalraiyes @hiteshbatra921 @BhadraCondra @OtisBRickman @PCubedMD @AlaEddinSagar @Donicme @thakore_sanket Nice case. Probably would have done the same thing. Could also try the mini cryo probe.

I used pulmonary forceps to dilate as I did not have any other dilation tools at my disposal that would fit through the robot (>100cm and <2.0mm). Would love to hear of other ideas/tools to better fix this problem in the future.

A (useful?) workaround: This patient had radiation to a LUL lesion (First image). Another more apical PET-avid lesion arises, but to get to the apical lesion I had to go through the radiated area. I found the airway was very dense and severely stenosed (Second image).

@ahalraiyes @IntuitiveSurg @SiemensHealth @udit_chaddha @handsnotmitts @Int_Pulmonology @vanholdenmd @PannuJasleen @dfellerk @AlaEddinSagar @drtinkujoseph @aggie07girl @sfaiz212 @WIIPStrong Fantastic case. Can’t wait for the video.

Dental drill bit removed using #Ionrobotic @IntuitiveSurg and @SiemensHealth CIOs #CBCT @udit_chaddha @handsnotmitts @Int_Pulmonology @vanholdenmd @PannuJasleen @dfellerk @redsoxdoc11 @AlaEddinSagar @drtinkujoseph @aggie07girl @sfaiz212 @WIIPStrong

@Singh011Jaspal @ahalraiyes @accpchest You got me laughing Jaspal. You’re too kind.

@ahalraiyes @accpchest @redsoxdoc11 @redsoxdoc11 is a bronchoscopy ninja 🥷

#CHEST2021 @accpchest @redsoxdoc11

@PannuJasleen @aerevelo @OSUWexMed @OSUCCC_James @pastisn @chghattas @PieperHeidi Great first day! Looking forward to tomorrow’s cases. Congrats on a great start. Your entire team is amazing.

@aerevelo @OSUWexMed @OSUCCC_James @pastisn @chghattas @PieperHeidi 👍🏻👍🏻👍🏻 also thanks to @redsoxdoc11 for coming in all the way for our first cases!

Robotic bronchoscopy launch at @OSUWexMed @OSUCCC_James @PannuJasleen @pastisn @chghattas @PieperHeidi all possible because of our excellent bronch suite team and support staff. Excellent team work! #roboticbronch #conebeamct

@RajaniSurendarB @WesElyMD Thank you for an amazing talk. @kylehogarth summed it up best. You inspire us to be better doctors.

Thank you @WesElyMD . MrD taught us all to ask the right question going forward

What happening ????? #bronch #progression

@BhadraCondra Congratulations on your first day with Ion. 5 of 5 diagnostic! Welcome to the revolution.

TONIGHT'S LIVE webinar is @ 7pm EST! Hear from Drs. George Cheng and Joseph Cicenia as they discuss challenges in navigational bronchoscopy, CT to body divergence & more! tinyurl.com/y8kjjrv9

REGISTER TODAY for our 2021 SAB SUMMIT-Virtual Conference on Saturday, June 12th from 7:30am-3:00pm. Hear from Drs. Rajani Surendar Bhat & Tom Gildea as they discuss "Palliative Care and Advanced Bronchoscopy" REGISTER HERE>>tinyurl.com/5c2xj6n2 #Educate #Innovate #Empowe

@BhadraCondra @udit_chaddha @MaldonadoFabien @AlaEddinSagar @ahalraiyes Krish, what did you do!? Haha. I’d rather manage it from the inside than the outside. Carcinoid?

Pre Spin, CBCT Tool-in-lesion, and intraop bleeding. Minimal bleeding in airway. Bronch vs CTFNA? #aabip #bronchoscopy #IR @udit_chaddha @MaldonadoFabien @AlaEddinSagar @ahalraiyes

Be at the forefront of Pulmonology Medicine with the SAB, join today! #innovate #educate #empowerment

@accpchest We figured out how to virtual eliminate it. See our protocol here: jtd.amegroups.com/article/view/3…

89% patients developed atelectasis in at least 1 out of 8 segments and 72% patients in at least 4 segments during bronchoscopy under general anesthesia: hubs.ly/H0D8cKG0 #journalCHEST

@udit_chaddha @BhadraCondra @MaldonadoFabien @AlaEddinSagar @KheirFayez @hbedi84 @TRGildea @AAB_IP @SABronchoscopy @wabipconnect @accpchest Keep in mind can’t really do this with EMN or robotic. Just thin scope or with Edge catheter like Krish does. I find I can prevent all atelectasis even supine if aggressively using our protocol.

@BhadraCondra @MaldonadoFabien @redsoxdoc11 @AlaEddinSagar @KheirFayez @hbedi84 @TRGildea Prone bronchoscopy shouldn’t be hard to do. I’m definitely going to try it. We place patients in lateral decub all the time for pleuroscopy.. that’s an option too (lesion side up). @AAB_IP @SABronchoscopy @wabipconnect @accpchest

Outside the box....IR does it. Reduce atelectasis. Shouldn’t we??? #bronchoscopy #conebeam #aabip @MaldonadoFabien @redsoxdoc11 @udit_chaddha @AlaEddinSagar @KheirFayez @hbedi84 @TRGildea

@BhadraCondra @MaldonadoFabien @udit_chaddha @AlaEddinSagar @KheirFayez @hbedi84 @TRGildea Not to mention it’s easy to do! (Eliminate atelectasis that is). But maybe we should wait until we have a randomized trial. 😂 Seeing is believing.

@DrewMoghanaki @DoctorJSpicer @tssmn @miguel_mesa @DrZulueta @FordePatrick @BrendonStilesMD @jdoningtonmd @StephenVLiu @JackWestMD @n8pennell @biniamkidaneMD @DouglasEWood1 @BLoo_LT_SABR @max_diehn @LeciaSequist Very low sensitivity on needle (if they even know what they are looking for). Frozen sensitivity about 60-85%. Interestingly high sens for airway secretion cytology in tissue sections in adeno.

@DoctorJSpicer @tssmn @miguel_mesa @DrZulueta @FordePatrick @BrendonStilesMD @jdoningtonmd @StephenVLiu @JackWestMD @n8pennell @biniamkidaneMD @DouglasEWood1 @BLoo_LT_SABR @max_diehn @LeciaSequist Certainly an argument for lobectomy if the frozen specimen shows STAS. What's the data on predicting STAS from a needle biopsy? @redsoxdoc11

Surgical resection of stage IA NSCLC may be great. But this study suggests not so much for tumors that have STAS. Thoughts? #lcsm @tssmn @miguel_mesa @DrZulueta lungcancerjournal.info/article/S0169-…