Summarizing societal guidelines regarding bronchoscopy. Available approaches include apneic oxygenation, spontaneous assisted ventilation, controlled ventilation, manual jet, and highfrequency jet. Rigid bronchoscopy is an invasive procedure that is utilized to visualize the oropharynx, larynx, vocal cords, and tracheal bronchial tree. The rigid bronchoscope occupies a central role in this specialty and offers many important advantages over the flexible scope when performing. Rigid bronchoscopy performed using local anesthesia was first described in 1947. Rigid bronchoscopy under general anesthesia enables performing diagnostic andor therapeutic procedures in the tracheobronchial tree. Mr neel raithatha aka the wax whisperer recommended for you. Laryngeal mask airway or rigid bronchoscope journalagent. Anaesthesia for bronchoscopy poses unique challenges. Manual ventilation or mechanical ventilation can be achieved using the lateral arm of the. Anesthetic considerations for bronchoscopic procedures. It is performed for both the diagnosis and treatment of lung disorders. Rigid bronchoscopy usually requires general anaesthesia while flexible. Anesthetic technique for advanced bronchoscopyother section.
Pdf ventilation and anesthetic approaches for rigid. Anesthesia for adult rigid bronchoscopy request pdf. Rigid bronchoscopy, first performed in 1897 by german otolaryngologist gustav killian to remove an aspirated pork bone 1, 2, was the only technique available to visualize the airways until the development of the flexible bronchoscope by shigeto ikeda in 1967 revolutionized the field of bronchoscopy. Farrellmbbs, frca, fanzca department of anaesthesia, john hunter hospital, newcastle, australia summary foreign body aspiration is a leading cause of death in children years old, although mortality is low for children who reach the hospital. How to set up a rigid bronchoscope and foreign body scope. Anesthesia for bronchoscopy and interventional pulmonology.
The procedure may be performed in an endoscopy suite with available anesthesia, but more appropriately in the operating room, and rarely in the icu. At all times, the patients lips and teeth should be protected. Due to the need for general anesthesia with rigid bronchoscopy and lack of standardization in. Combustible gases, such as halothane should be strictly avoided. Hence, manual ventilation with bag may be needed in many cases with careful.1497 641 1498 1009 1473 1399 811 143 744 1498 840 1055 1084 1155 1490 804 1273 673 158 1545 973 1127 1059 733 1448 706 1337 1335 741 313 202 47 1286 1299 1138 438 307 1470 836 1010 46