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    your one-stop service-provider in respiratory medicine              home             clinic             respiratory disorders   services             feature articles   publications         contact us                 bronchoscopic lung volume reduction for the treatment of pulmonary emphysema     the first case of bronchoscopic lung volume reduction for the treatment of pulmonary emphysema (aka copd or chronic obstructive pulmonary disease) was preformed recently in singapore. cheap generic viagra generic viagra online This was achieved by implanting in the major airways, a novel device known as endobronchial valve (ebv) zephyrtm endobronchial valve system) this procedure has been developed to supplant the need for lung volume reduction surgery (lvrs), a major surgery that is presently performed for patients with severe emphysema, as this form of surgery is associated with significant morbidity and mortality. viagra without a doctor prescription Is viagra used for women Recent studies have shown that significant benefits in improvement of symptoms, lung function, exercise capacity and quality-of-life that can be achieved in copd patients undergoing lvrs can now be achieved in a minimally-invasive way without the need for surgery. buy generic viagra cheap generic viagra The  zephyrtm endobronchial valve (ebv) can be implanted in the bronchi (major airways) of the lungs using flexible bronchoscopy (see figures 1 and 2). cheap viagra in canada viagra uk pharmacy online Immediately after placement of the ebv, air that was previously trapped in the lungs (aka hyperinflation) is allowed to escape and the degree of hyperinflation is reduced. viagra uk pharmacy online buy viagra online   figure 1                             figure 2 hyperinflation of the lungs is a major cause of breathlessness and reduced exercise tolerance in patients with copd. viagra for sale viagra dosage seniors With the reduction of trapped air in the lungs, the respiratory muscles can work better and patients can feel less breathless with activity. Viagra peak duration buy cheap viagra Figure 3 shows the diaphragm (major muscle for breathing) on the left side is depressed in a copd patient with hyperinflation. Viagra last longer cheap viagra After implantation of ebv using bronchoscopy in the left upper lung, the diaphragm is now elevated and able to perform its normal function again (figure 4). viagra daily vs 36 hour will viagra work for women Figure 3 figure 4       new articles   the second case of endoscopic lung volume reduction was performed in a patient with giant emphysematous bullae of the right middle lobe (figures 1 and 2). how many mg of viagra can you take The chest x-rays showed that the right middle lobe bullae (figure 3) were markedly smal. viagra uk pharmacy online can you take 10mg viagra daily










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