Another Use for the Fiberoptic Bronchoscope

Patil, Vijayalakshmi U.; Stehling, Linda C.; Zauder, Howard L.

doi:10.1097/00000542-198110000-00041

Cited by 3 publications

(2 citation statements)

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“…Finally, flexible FOB has been used as a guide for proper placement of tracheostomy tubes [127]. It has been suggested that occasionally a tracheostomy tube cannot be readily inserted in the trachea at the time of tracheostomy because of loss of exposure or anatomical variation.…”

Section: To Perform Difficult Intubations and To Guide Proper Placemementioning

confidence: 99%

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Flexible Fiberoptic Bronchoscopy in the Intensive Care Unit

Brandstetter

1989

J Intensive Care Med

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For the past 20 years, flexible fiberoptic bronchoscopy (FOB) has been shown to be an important procedure in the diagnosis and management of patients in intensive care units (ICU). In adults, FOB is used therapeutically to remove retained secretions and to correct atelectasis not improved by conservative means. In the pediatric population, however, FOB is mainly used to diagnose tracheal disease in critically ill children. The principal risks of FOB are hypoxemia and dysrhythmias; hemor rhage and pneumothorax may occur as a result of biopsy procedures. In competent hands, these adverse compli cations of FOB are minimal. Although rigid bronchos copy remains pivotal in most pediatric bronchoscopic procedures, massive hemoptysis, foreign body removal, and laser therapy for occluding tumors of the upper airway, flexible FOB has an increasingly important role in the diagnosis and management of these disorders.

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Section: To Perform Difficult Intubations and To Guide Proper Placemementioning

confidence: 99%

“…Insertion of a flexible FOB into the endotracheal tube before the tube's withdrawal can verify proper placement of the tracheostomy tube. Physicians can also examine the trachea for secretions, areas of inflammation, and other abnormalities [127].…”

Section: To Perform Difficult Intubations and To Guide Proper Placemementioning

confidence: 99%