We read with interest the letter by Doctor Sanders (Chest 1983;83:935-56) regarding separation of the wire cytology brush from its attachment to the wire guide during bronchoscopy, and the letters by Doctors Malik and Behera (Chest 1984;85:837-38 and Chest 1985;86:147), Masa-Jimenez et al, and Weissberg (Chest 1985;86:156) regarding breakage of alligator forceps during bronchoscopy. We have exp...

A new, simpler method to re-expand collapsed lungs was introduced in 14 procedures in 12 critically ill patients. To close the bronchus, we wedge the fiberoptic bronchoscope into each segment or subsegment of the collapsed lung instead of using a balloon cuff. Room air was then insufflated into the atelectatic alveoli after repetitive sputum suctioning and bronchial washing with normal saline s...

The self-expandable stainless steel stents (Gianturco, William Cook, Bjaeverskov, Denmark) used extensively in biliary ducts and the vascular system have recently been modified for use in the tracheobronchial tree. Between March 1991 and September 1992, six patients with unresectable tracheobronchial and mediastinal diseases were treated with the placement of one or more self-expanding stents u...

CHEST, 70: 4, OCTOBER, 1976 if a 1-percent solution is adequate. We use 5 ml of a 4percent solution of lidocaine (for a total of 200 mg) to anesthetize the larynx and tracheobronchial tree. We have now performed over 4,500 examinations with the fiberoptic bronchoscope using the oral route of intubation and have encountered no episodes of serious laryngospasm.2 More importantly, we premedicate a...

Understanding the differences between the infant upper airway and the adult upper airway is important in properly managing the infant and pediatric airway. Proper history and physical examination and selection of the appropriate endotracheal tubes, LMAs, and laryngoscopes are key to managing the normal infant and pediatric airway. The difficult infant and pediatric airway requires planning, pre...

Intraoperative airway obstruction is perplexing to anesthesiologists because the patient may fall into danger rapidly. A 74-year-old woman underwent an emergency incision and drainage for a deep neck infection of dental origin. She was orally intubated with a 6. 0 mm internal diameter reinforced endotracheal tube by video laryngoscope using volatile induction and maintenance anesthesia (VIMA) w...

Nongranulomatous, nonspecific interstitial pneumonitis was a predominating or prominent histopathologic finding in 62 percent of 128 granuloma-containing specimens from open lung biopsies obtained from patients with sarcoidosis. Data from this study, combined with observations by others on the evolution of experimentally induced granulomas, indicate that interstitial pneumonitis represents a ve...

Abstract Background Tracheostomy is one of the most frequent techniques in intensive care units (ICU). Fiberoptic bronchoscopy (FB) a safety measure when performing percutaneous dilatational tracheostomy (PDT), but controversy surrounding routine use FB as part procedure remains open. National surveys some European countries showed that non-standardized. Retrospective studies have not shown sig...

The flexible fiberoptic bronchoscope is currently the standard tool for localization of radiographically occult carcinomas of the tracheobronchial tree. It allows direct inspection of proximal airways and can establish the location of most occult lung cancers. A small percentage of patients present with bronchoscopically as well as radiographically occult carcinoma, particularly challenging bec...