Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_579_24
Akesh Thomas, Jessee Woodall, Ghassan J Wadhi, Paul R Branca
{"title":"Endobronchial hamartoma; are the lines fading from the zebra? Case series and review of literature.","authors":"Akesh Thomas, Jessee Woodall, Ghassan J Wadhi, Paul R Branca","doi":"10.4103/lungindia.lungindia_579_24","DOIUrl":"10.4103/lungindia.lungindia_579_24","url":null,"abstract":"<p><strong>Abstract: </strong>Hamartoma is a common benign tumour of the lung. Although most pulmonary hamartomas are located within the lung parenchyma, rarely they present as endobronchial tumours. We are describing one case of a 75-year-old gentleman with endobronchial hamartoma removed via traditional flexible bronchoscopy and another case of a 55-year-old gentleman whose endobronchial hamartoma was diagnosed via robotic navigational bronchoscopy. We are also describing the salient features of three other cases of endobronchial hamartoma diagnosed at our institution in the last 13 years. With the emergence of advanced navigational bronchoscopy techniques, we predict that the incidence of identifying endobronchial hamartomas will increase.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"245-247"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_531_23
S Santhakumar, Karan Deshmukh, Sangita Sharma Mehta, Rajeshwari K Muthusamy, J Venugopal, T H Deepak, N Karthi, S Sharmila, Ananthu Joseph, Thanushree Kurdula
{"title":"EBUS guided trans-esophgeal cryobiopsy-two case reports.","authors":"S Santhakumar, Karan Deshmukh, Sangita Sharma Mehta, Rajeshwari K Muthusamy, J Venugopal, T H Deepak, N Karthi, S Sharmila, Ananthu Joseph, Thanushree Kurdula","doi":"10.4103/lungindia.lungindia_531_23","DOIUrl":"10.4103/lungindia.lungindia_531_23","url":null,"abstract":"<p><strong>Abstract: </strong>Endobronchial ultrasound (EBUS) guided mediastinal cryobiopsy is a novel technique which can be combined with EBUS -TBNA to improve the diagnostic yield. Recent studies report, this technique is safe and superior to EBUS TBNA alone in terms of acquisition of larger tissue samples and thereby a better diagnostic yield and adequacy of tissue for molecular studies. However, safety of this technique in patients do not tolerate a bronchoscopic procedure due to hypoxia or respiratory distress is not clarified yet. Alternatively, EBUS guided FNA via trans-esophageal route(EUS-B-FNA) is a proven technique with a similar diagnostic yield as EBUS TBNA with a better tolerance and a more patient comfort. We report two patients here, in whom EUS- B guided cryobiopsy was successfully done via trans-esophageal route, due to intolerance for bronchoscopic procedure and inconclusive ROSE reports.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"252-255"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Newer regimen for drug resistant-tuberculosis: A ray of hope or threatening shadows.","authors":"Vibha Mehta, Ananya Arora, Pradeep Bajad, Anubhav Pandey, Arjun Khanna","doi":"10.4103/lungindia.lungindia_495_24","DOIUrl":"10.4103/lungindia.lungindia_495_24","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"177-178"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_213_24
Sayoni Sengupta, Parthasarathi Bhattacharyya, Aniruddha De, Sayanti Karmakar, Wrick Chakraborty, Dipanjan Saha
{"title":"Haemodynamics and post-exercise recovery response in COPD-PH and ILD-PH: An appraisal.","authors":"Sayoni Sengupta, Parthasarathi Bhattacharyya, Aniruddha De, Sayanti Karmakar, Wrick Chakraborty, Dipanjan Saha","doi":"10.4103/lungindia.lungindia_213_24","DOIUrl":"10.4103/lungindia.lungindia_213_24","url":null,"abstract":"<p><strong>Background: </strong>Chronic lung disease (CLD) from either airway obstruction or parenchymal affections can lead to secondary pulmonary hypertension. It may be interesting to compare the two types of CLD-PH.</p><p><strong>Methods: </strong>Subjects of CLD were first evaluated for the primary category of disease with chest X-ray, HRCT chest, spirometry, and DLCO (diffusion capacity) and then for the presence of PH through exercise of the institutional clinic-radio-echocardiographic algorithm. Those qualifying as either unmixed restrictive (ILD) or COPD (chronic obstructive airway disease) with PH underwent two-chair test for assessment of post-exercise recovery response. The two groups were compared on available parameters.</p><p><strong>Results: </strong>The patients with COPD-PH were significantly older with similar FVC and DLCO compared to ILD-PH. In two-chair test, the maximum pulse rate and the desat-max were significantly worse (108.68 ± 1 5.46 vs 101.33 ± 12.62, P = 0.002, and - 5.68 ± 4.78 vs - 3.71 ± 2.73, P = 0.006) for the ILD-PH patients. The ILD-PH sufferers also demonstrated a lower TAPSE (21.16 ± 3.11 vs 22.59 ± 2.71; P-0.001) and a higher calculated mean pulmonary artery pressure (32.00 ± 7.54 vs 30.64 ± 4.22 vs, P = 0.05) compared to the subjects with COPD-PH. The other right ventricular systolic functional parameters [systolic excursion velocity (S-prime), right ventricular free wall global longitudinal strain, systolic pulmonary arterial pressure, tricuspid regurgitation jet velocity] supported the trend.</p><p><strong>Conclusion: </strong>The ILD-PH patients show relatively higher PH with lower right ventricular systolic function than COPD-PH.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"225-230"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_455_24
Shrikant Dixit, S Suseendar, Neeti Rustagi, Naveen Dutt
{"title":"Smartphone delivered social media-based rehabilitation for people with COPD in Thar Desert, India: A feasibility study.","authors":"Shrikant Dixit, S Suseendar, Neeti Rustagi, Naveen Dutt","doi":"10.4103/lungindia.lungindia_455_24","DOIUrl":"10.4103/lungindia.lungindia_455_24","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary telerehabilitation offers an accessible and cost-effective therapy option for patients with chronic respiratory diseases. In the Thar Desert, home to 16.6 million people with a population density of 83 persons per square kilometre, transportation barriers to tertiary care increase the demand for telerehabilitation services.</p><p><strong>Objective: </strong>To assess the feasibility of smartphone and social media-based rehabilitation for COPD patients in the Thar Desert, India.</p><p><strong>Methods: </strong>COPD patients were recruited from a tertiary hospital's outpatient department. Rehabilitation videos in Hindi were provided through smartphones via social media. Key assessments included the COPD Assessment Test (CAT), EQ-5D-3L, mMRC dyspnoea scale, 6-minute walk test and 30-second sit-to-stand test at baseline and 8 weeks. Usability, acceptability and adherence were measured using the System Usability Scale (SUS) and Technology Acceptance Model (TAM) at 8 weeks, with follow-up on exercise adherence after 1 year.</p><p><strong>Results: </strong>Of the 54 COPD patients assessed, 45 were recruited (mean age 64.18, 86.7% male). Statistically significant improvements (P < 0.05) were observed in mMRC, EQ-5D-3L, CAT and 6-minute walk test scores. High acceptability was noted, with a mean SUS score of 81.5/100 and TAM score of 93.93/128. After 8 weeks, 75.5% of participants were exercising, with 58% maintaining routines 1 year later.</p><p><strong>Conclusion: </strong>Smartphone-based pulmonary telerehabilitation is feasible for COPD patients in the Thar Desert, demonstrating high acceptability even in low-literacy populations. Further trials in diverse settings are recommended.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"191-198"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_57_25
Swapnil Deshmukh, Sneha Deore
{"title":"Comparing standard treatment of moderate to severe obstructive sleep apnoea to add-on acetazolamide treatment: An open-label randomised controlled trial.","authors":"Swapnil Deshmukh, Sneha Deore","doi":"10.4103/lungindia.lungindia_57_25","DOIUrl":"10.4103/lungindia.lungindia_57_25","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"275-276"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_422_24
Kyriaki Cholidou, Nektarios Anagnostopoulos, Konstantinos Bartziokas, Konstantinos Vafeiadis, Agamemnon Bakakos, Aggelos Vontetsianos, Vasiliki Gogou, Zoi Sotiropoulou, Christina Anagnostopoulou, Anna Papasarantou, Paschalis Steiropoulos, Petros Bakakos, Andriana I Papaioannou
{"title":"Correlation of mean platelet volume and red blood cell distribution width with obstructive sleep apnoea syndrome severity.","authors":"Kyriaki Cholidou, Nektarios Anagnostopoulos, Konstantinos Bartziokas, Konstantinos Vafeiadis, Agamemnon Bakakos, Aggelos Vontetsianos, Vasiliki Gogou, Zoi Sotiropoulou, Christina Anagnostopoulou, Anna Papasarantou, Paschalis Steiropoulos, Petros Bakakos, Andriana I Papaioannou","doi":"10.4103/lungindia.lungindia_422_24","DOIUrl":"10.4103/lungindia.lungindia_422_24","url":null,"abstract":"<p><strong>Introduction: </strong>Mean platelet volume (MPV) and red blood cll distribution width (RDW) have been assosiated with sleep apnea syndrome severity.</p><p><strong>Objective: </strong>To investigate the correlation of mean platelet volume and red blood cell distribution width with obesity sleep apnoea syndrome (OSAS) severity.</p><p><strong>Methods: </strong>Ninety patients underwent PSG. Patients with an apnoea-hypopnoea index (AHI) <5 were used as controls. Patients with AHI >5 were divided into mild: 5 ≤ AHI <15, moderate: 15≤ AHI <30 and severe OSAS: AHI ≥30. Patients >65 years, with body mass index (BMI) >40, central sleep apnoea syndrome, cardiovascular or other significant comorbidities were excluded. Blood sample collection occurred one day before polysomnography (PSG).</p><p><strong>Results: </strong>Sixty-four patients were included in our study. Fifty-seven (89.1%) had OSAS (16% mild, 25% moderate and 48.4% severe) while the remaining 7 (10.1%) were used as controls. MPV was similar among groups [8.1 (7.1, 9.2) vs 7.9 (6.8, 10.1) vs 8.5 (7.4, 9.1) vs 8.4 (7.6, 9.7), P = .930 for control, mild, moderate and severe OSAS, respectively]. RDW did not differ between OSAS patients and control [median (IQR) 14.4 (13.4, 15.3) vs 14.0 (13.5, 16.7), P = .950], while there was no significant difference among different stages of OSAS severity [14.0 (13.5, 16.7) vs 13.9 (11.4, 14.8) vs 14.4 (14.0, 15.3) vs 14.4 (13.3, 15.6), P = .517] for control, mild, moderate and severe OSAS, respectively.</p><p><strong>Conclusion: </strong>OSAS patients have elevated levels of RDW and MPV compared to controls; however, there was no association between OSAS severity and MPV or RDW.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"179-185"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_77_25
Paulo Galego, Bianca F F de Franca, Edson Marchiori
{"title":"Lung herniation after cardiopulmonary resuscitation.","authors":"Paulo Galego, Bianca F F de Franca, Edson Marchiori","doi":"10.4103/lungindia.lungindia_77_25","DOIUrl":"10.4103/lungindia.lungindia_77_25","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"272-274"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lung IndiaPub Date : 2025-05-01Epub Date: 2025-04-29DOI: 10.4103/lungindia.lungindia_7_25
Balamugesh Thangakunam, Barney Isaac, Rajasekar Sekar, Kundavaram Paul Prabhakar Abhilash, Mathew Varghese Nellimootil, Hema Paul, Devasahayam Jesudas Christopher
{"title":"Forty-steps desaturation test does not have prognostic value in COVID-19 due to omicron variant.","authors":"Balamugesh Thangakunam, Barney Isaac, Rajasekar Sekar, Kundavaram Paul Prabhakar Abhilash, Mathew Varghese Nellimootil, Hema Paul, Devasahayam Jesudas Christopher","doi":"10.4103/lungindia.lungindia_7_25","DOIUrl":"10.4103/lungindia.lungindia_7_25","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"270-272"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}