Atlas of Fiberoptic Bronchoscopy Rajendra Prasad
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Rajendra Prasad MD DTCD FAMS FCCP (USA) FNCCP FCAI FIAB FIMSA FCCS DSc (Honoris Causa) Director, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India Honorary Consultant, Armed Forces Medical Services (Respiratory Medicine) Former Director, UP Rural Institute of Medical Sciences and Research, Saifai, Etawah, Uttar Pradesh, India Former Professor and Head, Department of Pulmonary Medicine, KG Medical University, Lucknow, Uttar Pradesh, India International Governor, American College of Chest Physicians (2003–09) President National College of Chest Physicians, India (2006–07) Indian Chest Society (2007–08) Indian College of Allergy Asthma and Applied Immunology (2005–07) Indian Association for Bronchology (2007–08) Indian Medical Association, Lucknow Branch (2006–07) Vice-President South Asia Association of Allergy, Asthma and Clinical Immunology Indian Society for Study of Lung Cancer Chairman Standing Technical Committee, Tuberculosis Association of India Zonal Task Force (RNTCP), North Zone, India Uttar Pradesh State Task Force (RNTCP) E-mail:,,
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This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Atlas of Fiberoptic Bronchoscopy
First Edition: 2014
Printed at
5Dedicated to
My parents, wife and children for their love, patience and encouragement6
Professor Shigeto Ikeda's invention of fiberoptic bronchoscopy has revolutionized the practice of medicine. As 21st century progresses, fiberoptic bronchoscopy has become the most common and important procedure in the practice of pulmonary medicine and I have witnessed tremendous increase in application of fiberoptic bronchoscopy in clinical practice today.
Although fiberoptic bronchoscopy was started in department of pulmonary medicine at King George's Medical College, Lucknow, Uttar Pradesh, India, for the first time in 1986 and we have acquired state-of-the-art video bronchoscopy unit for the first time in the state of Uttar Pradesh in the year 2000, since then the photography, record keeping, teaching and training has become much easier.
This book was written with the aim of defining an approach to the diagnosis of common pulmonary diseases based on abnormal bronchoscopic findings. The text consists of two parts, the first, a practical introduction and the second, X-ray, computed tomography (CT) and bronchoscopic pictures of interesting cases selected from 2,000 bronchoscopic procedures done in the last 15 years.
Undergraduates, postgraduates, medical students, chest physicians, thoracic surgeons, general physicians having special interest in pulmonary diseases and otolaryngologists will find this book as a practical guide.
Rajendra Prasad
There are many individuals who have contributed to its successful completion, some have made such important contributions that I take special pleasure in acknowledging my heartfelt indebtedness to them. I am indebted to Dr Rajiv Garg, Dr Kushwaha RAS, Dr Verma SK, Dr Yaswant, Dr Ashish Rout, Dr Gupta GL, Dr Shashank Ojha, Dr Verma RK, Dr Amit Verma, Dr Sanjay Verma, Dr Kiran Vishnu Narayan, Dr Suneesh C Anand, Dr Giridhar BH, Dr Abhijeet Singh, Dr S Saheer, Dr Jabeed P and Dr Nikhil Gupta, for their constant support and encouragement. I am also thankful to Mr Verma VK and Mr Sunni Razzak.
I am grateful to the following for their splendid contribution to the book, Mr Sudhanshu Tewari for design and illustrations, and Mr Ashish Yadav and Mahtab Khan for typing and illustrations. At the last I am thankful to all my patients who have cooperated fully during bronchoscopy and helped me to learn more and more about pulmonary diseases.