Global Perspectives on Bronchoscopy

252 Pages·2012·9.541 MB·English

by  S. Haranath, S. Razvi

GLOBAL PERSPECTIVES
ON BRONCHOSCOPY

Edited by Sai Praveen Haranath
and Samiya Razvi
Global Perspectives on Bronchoscopy
Edited by Sai Praveen Haranath and Samiya Razvi

Published by InTech
Janeza Trdine 9, 51000 Rijeka, Croatia

Copyright © 2012 InTech
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Technical Editor Teodora Smiljanic
Cover Designer InTech Design Team

First published May, 2012
Printed in Croatia

A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from [email protected]

Global Perspectives on Bronchoscopy, Edited by Sai Praveen Haranath and Samiya Razvi
p. cm.
ISBN 978-953-51-0642-5

Contents

Preface IX
Section 1 Basics of Bronchoscopy 1
Chapter 1 Role of Flexible-Bronchoscopy in
Pulmonary and Critical Care Practice 3
Gilda Diaz-Fuentes and Sindhaghatta K. Venkatram
Chapter 2 Monitoring, Sedation, and Anesthesia
for Flexible Fiberoptic Bronchoscopy 35
Michael J. Morris, Herbert P. Kwon
and Thomas B. Zanders
Section 2 Bronchoscopic Investigations 55
Chapter 3 Role of Broncoalveolar Lavage in Diagnosis 57
Mohammad Shameem
Chapter 4 Lung Cancer – CT Vs Bronchoscopy 71
António Saraiva and Christopher Oliveira
Section 3 Bronchoscopy in Special Situations 89
Chapter 5 Bronchoscopy in
Mechanically Ventilated Patients 91
Angel Estella
Chapter 6 Bronchoscopy in Bronchiectasis and Cystic Fibrosis 107
Aditya Kasarabada, Mark E. Lund and Jeffrey B. Hoag
Section 4 Evolving Therapeutic Uses of Bronchoscopy 125
Chapter 7 Endotracheal Intubation with
Flexible Fiberoptic Bronchoscope
(FFB) in Cases of Difficult Airway 127
Francisco Navarro, Raúl Cicero and Andrea Colli
VI Contents

Chapter 8 Bronchoscopic Balloon Dilation (BBD)
for Benign Tracheobronchial Stenosis 135
Masayuki Tanahashi, Hiroshi Niwa,
Haruhiro Yukiue, Eriko Suzuki, Hiroshi Haneda,
Naoko Yoshii and Hisanori Kani
Chapter 9 Endoscopic Percutaneous Tracheotomy in Prolonged
Intubation of Mechanical Ventilated Patients
Admitted in Cardio-Thoracic Intensive Care Unit 151
Rosa Mastropierro, Michela Bettinzoli and Aldo Manzato
Section 5 Pediatric Bronchoscopy 175
Chapter 10 Pediatric Bronchoscopy 177
Selma Maria de Azevedo Sias,
Ana Cristina Barbosa Domingues
and Rosana V. Mannarino
Chapter 11 Manual Jet Ventilation Using
Manujet III for Bronchoscopic
Airway Foreign Body Removal in Children 201
Shaoqing Li, Yuqi Liu and Fang Tan
Chapter 12 Utility of Pediatric Flexible Bronchoscopy
in the Diagnosis and Treatment of
Congenital Airway Malformations in Children 219
Yong Yin, Shuhua Yuan, Wenwei Zhong and Yu Ding

Preface

Bronchoscopy has become an essential part of modern medicine. Recent advances in
technology have allowed integration of ultrasound with this tool. The use of lasers
along with bronchoscopes has increased the therapeutic utility of this device. Globally
an increasing number of pulmonary specialists, anaesthesiologists and thoracic
surgeons are using the bronchoscope to expedite diagnosis and treatment. The current
volume on bronchoscopy adds to the vast body of knowledge on this topic. The
contributions from around the world cover the breadth of this field and include
cutting edge uses as well as a section on pediatric bronchoscopy.
This was a tough job for me as an editor of the book, since the authors wrote vast
and extensive chapters . It was a great experience. I would request readers to review
the book and suggest areas for modification or further topic additions for future
versions. Every care has been taken to ensure the accuracy of information and
authors are aware of the strict rules against plagiarism. The book is divided in
various sections in order to make it easier for the beginner, as well as the advanced
reader to have a rapid overview of this topic. The section on pediatric bronchoscopy
highlights issues specific to children that are recognizably different from adults,
including airway anatomy, anesthesia considerations and the emerging field of
diagnostic and therapeutic procedures in this age group. A major indication for
bronchoscopy in infants and young children continues to be evaluation for
congenital airway malformations, and both common and uncommon disorders
are reviewed with illustrations in this text.
As a pulmonary and critical care physician it has been fulfilling to see the chapters
on special areas like bronchoscopy in bronchiectasis as well as in the intensive care
unit. Practical uses like managing and monitoring the airway during percutaneous
tracheostomy performance has an entire chapter devoted to this evolving topic . In
summary, this book is a great testament to the power of collaboration and is a
superb resource for doctors in training, ancillary team members as well as practicing
healthcare providers who have to perform or arrange bronchoscopy or the similar
procedures. I would like to sincerely thank my associate editor Dr Samiya Razvi for
ensuring the pediatric section to integrate well into this comprehensive book. I am
grateful to InTech as well as Jana Sertic, my coordinator, for her patient yet firm
requests for expediting this book. I hope the readers will find this book enjoyable for
X Preface

reading and that they will recignize a contemporary source of knowledge in our
book.

Dr. Sai Praveen Haranath
Consultant Pulmonologist and Critical Care Medicine Specialist,
Axon Anesthesia Associates, Hyderabad,
Apollo Hospitals, Jubilee Hills, Hyderabad,
India
Dr. Samiya Razvi
Consultant Pediatric Pulmonologist,
Apollo Hospitals, Jubilee Hills, Hyderabad,
India