Book chapter
Fiberoptic Bronchoscopy for Positioning Double-Lumen Tubes and Bronchial Blockers
Principles and Practice of Anesthesia for Thoracic Surgery, pp.311-322
Springer International Publishing
01/05/2019
DOI: 10.1007/978-3-030-00859-8_17
Abstract
Flexible fiberoptic bronchoscopy is a diagnostic and therapeutic procedure of great value in the clinical practice of thoracic anesthesia. [1] The most common method to perform flexible fiberoptic bronchoscopy is with the use of a single-lumen endotracheal tube. Once the tube is advanced beyond the vocal cords and inside the trachea, the tip of the endotracheal tube should come to rest 3-4 cm above the tracheal carina. A Portex fiberoptic bronchoscope (SSL American, Inc. Norcross, Georgia USA) swivel adapter with a self-sealing valve is used to facilitate ventilation and manipulation of the bronchoscope at the same time. When using a large single-lumen endotracheal tube, an adult fiberoptic bronchoscope should be used (i.e. 4.1 mm inner diameter). Another alternative to perform fiberoptic bronchoscopy is with the use of a laryngeal mask airway (LMA). This technique allows visualization of the vocal cords and subglottic structures with lower resistance than a single-lumen endotracheal tube when the bronchoscope is inserted.
Details
- Title: Subtitle
- Fiberoptic Bronchoscopy for Positioning Double-Lumen Tubes and Bronchial Blockers
- Creators
- Javier Campos - Department of Anesthesia, University of Iowa Health Care, Roy and Lucille Carver College of Medicine, Iowa City, USA
- Resource Type
- Book chapter
- Publication Details
- Principles and Practice of Anesthesia for Thoracic Surgery, pp.311-322
- DOI
- 10.1007/978-3-030-00859-8_17
- Publisher
- Springer International Publishing; Cham
- Language
- English
- Date published
- 01/05/2019
- Academic Unit
- Anesthesia
- Record Identifier
- 9984007188702771
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