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Workshop on “Ultrasound, critical care
Echocardiography, Pleuroscopy and
Medical Thoracoscopy” at JPMC

KARACHI: Department of Chest Medicine, Jinnah Postgraduate Medical Centre, Karachi in collaboration of Chest Health and Education Society organized second hands on workshop on “Ultrasound, critical care Echocardiography, Pleuroscopy and Medical Thoracoscopy” from 15th to 16th July, 2017 for the senior pulmonologists of Pakistan. Thirty senior Chest Physicians from different parts of Pakistan attended the workshop.


A view of the Hands on Workshop on Ultrasound, Critical Care Echocardiography, Pleuroscopy and 
Medical Thoracoscopy organized Department of Chest Medicine, Jinnah Postgraduate Medical |
Centre, and Karachi in collaboration of Chest Health and Education Society.

Ultrasounds it may be mentioned here have become an important diagnostic tool for chest physicians for various diagnostic procedures particularly pleural fluid aspiration and pleural biopsy. Studies from the western world have shown that these simple procedures done without real time guidance may result in serious complications and even death. A survey done in U.K. has shown that pleural procedures done without ultrasound may result in organ damage in 10% cases and 15% lung puncture. Therefore, British Thoracic Society in 2010 in U.K. it was made mandatory that the chest physician have to learn the act of performing ultrasound chest, unfortunately no chest physician is adequately trained to perform chest ultrasound efficiently in Pakistan.

This workshop was aimed at to fill the training needs for chest physicians and other non-radiologists of all levels of experience, by providing essential knowledge on all aspects of pleural ultrasound in the new era. During the 2nd half of 1st workshop, participant were taught the art of performing rush protocol echocardiography and essential training for chest physician and intensivist for assessment and diagnosis of common cause of shock. Hands on training were given to participant to confidently diagnose shock due to massive pulmonary embolism, pericardial tamponade, hypovolumic shock and cardiogenic shock by eye ball estimation of left ventricular function.


Prof. Nadeem Rizvi Head of the Dept. of Chest Medicine, Jinnah Postgraduate Medical Centre, 
Karachi presenting certificates to the participants of the Hands on workshop organized at JPMC recently.

On the 2nd day during 1st half the role of pleuroscopy in performing plural biopsy under direct vision was taught and hand on experience was given to the participants during 2nd half role of thoracoscopy in the management of multi-septaled and multi-loculated empyema was explained and hand on training was given. Such empyemas are usual dealt by thoracic surgeon, but in view of extreme shortage of them particularly in public sector hospital, there is only one thoracic surgeon for whole of Sindh and Baluchistan. Chest Physician should learn to handle such cases. In the end certificates of participant was distributed and all the participants appreciated the efforts of Department of Chest Medicine, JPMC, and Karachi. (PR)

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