Скачать с ютуб Troubleshooting a tricky bronchoscopy в хорошем качестве

Troubleshooting a tricky bronchoscopy

Have you ever had a bronchoscopy just not go well. It is actually a really complex skill and there's a few things that are quite easy to solve. In this video I go through the common bronchoscopy problems when I do an awake fibreoptic intubation. This does not include any of the issues you might have with sedation and topicalisation. What to do if: I get resistance? Stop Don’t advance Remove and lubricate There’s sputum obscuring the view? Oxygen to port Remove bronch and use suction catheter Glycopyrrolate You enter oropharynx and there’s no view? Optimise position as for intubation (lower cspine flexion + atlanto-occipital extension) Jaw thrust Tongue grab.. How? Gauze! You can see the cords but can’t seem to advance scope? Change something! Optimise scope technique/orientation Should be a straight line Acute angle try nasal vs oral Conduit is narrow or irregular Burman vs ovassapian vs guedel Try small movements Please post any comments or questions below. Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook group for other content. Any questions please email [email protected] Disclaimer: This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information in this course is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant This document was created using a Contractology template available at http://www.contractology.com. Informed consent was gained from the patient where relevant The views presented here are of each individual presenter and does not represent the views of our employing hospitals or ANZCA.