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Pediatric Bronchoscopy
Praveen Khilnani, Mritunjay Pao
CHAPTER 1:
Introduction: Flexible Fiberoptic Bronchoscopy
CHAPTER 2:
Bronchoscopic Equipment
HISTORY OF BRONCHOSCOPY
OLYMPUS BF TYPE P60
Specifications
OLYMPUS BF TYPE 1T60
Specifications
OLYMPUS BF TYPE MP60
Specifications
OLYMPUS BF TYPE XP60
Specifications
OLYMPUS BF TYPE 3C40
Specifications
OLYMPUS BF TYPE N20
Specifications
THE PHYSICS OF FLEXIBLE FIBEROPTIC ENDOSCOPES
BASIC ANATOMY OF A BRONCHOFIBERSCOPE
The Handle
Insertion Cord
Light Guide Bundles
Image Transmission Bundle
Working Channel
Tip Bending Lever
Distal Tip
Universal Cord
COMPARISON OF AVAILABLE FIBERSCOPES
Diameter of Insertion Cord
Length of Insertion Cord
The Size of the Working Channel
The Field of View
The Bending Radius of the Distal Tip
The Control Mechanisms of the Bending Tip
ACCESSORY INSTRUMENTS
Light Sources
Teaching Attachments
Forceps and Brushes
CLEANING AND STERILIZATION
THE FIBEROPTIC CART
SUGGESTIONS FOR FIBERSCOPE USAGE
Do's
Don'ts
REFERENCES
FURTHER READING
CHAPTER 3:
Indications for Pediatric Bronchoscopy
INDICATIONS
Contraindications
CHAPTER 4:
Sedation, Analgesia and Monitoring during Bronchoscopy
SEDATION AND GENERAL ANESTHESIA
Presedation Assessment
Sedation
CHAPTER 5:
Anatomy for the Bronchoscopist
CHAPTER 6:
Procedural Technique of Flexible Bronchoscopy in Infants and Children
PREPARATION OF THE PATIENT
POSITION: FOR NASAL INSERTION
For Oral Insertion
Location
INSERTION OF THE BRONCHOSCOPE
Transnasal Insertion (Figs 6.1 and 6.2)
Oral Insertion
Insertion through Endotracheal Tube
Insertion through Tracheostomy Tube
Insertion Via Laryngeal Mask Airway (LMA)
Beyond the Nasopharynx
EXAMINATION OF THE LOWER AIRWAYS
POST BRONCHOSCOPY CARE OF THE PATIENT
TECHNICAL PROBLEMS DURING BRONCHOSCOPY3,5
Difficult Nasal Passage
Pharyngeal Hypotonia
Difficult Laryngeal Passage
Obstruction of Airway
Thick and Excessive Secretions
Nasotracheal Intubation
Technical Problems of the Bronchoscope
Neonatal Flexible Bronchoscopy
CHAPTER 7:
Fiberoptic Intubation
TRACHEAL INTUBATION UNDER CONSCIOUS SEDATION
Oral Approach
Nasal Approach
TRACHEAL INTUBATION UNDER GENERAL ANESTHESIA
Fiberoptic Intubation Using an Endoscopy Mask
Modified Endoscopy Mask Technique
Intubation Using the Nasal Airway
Confirmation of Endotracheal Tube Position
COMPLICATIONS
CHAPTER 8:
Special Procedures
AIRWAY STENTS40–46
Definition
Equipment
Personnel
Technique
Indications
Risks
Training Requirements1
Newer Applications of Bronchoscopy
Endobronchial Ultrasound
CHAPTER 9:
Complications of Fiberoptic Bronchoscopy
CHAPTER 10:
Rigid Bronchoscopy
INSTRUMENTS
PROCEDURE
CHAPTER 11:
Indian Experience with Pediatric Flexible Fiberoptic Bronchoscopy
COMPLICATIONS (SEE CHAPTER 9)
Risk/Benefit Ratio
Future of Pediatric FFB
INDEX
TOC
Index
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