W e report the combined use of a Fogarty catheter (FC), a 3.5-mm fiberoptic bronchoscope (FOB), and a 6.0 endotracheal tube (ETT) to intubate the lower trachea of a patient with a primary upperand midtracheal tumor causing a 66% stenosis of the tracheal lumen at the level of the thoracic inlet. Initially, the 6.0 ETT, with the FOB and the FC fed to its tip, was placed above the tumor and rotate...

This study aimed to find other methods of blind insertion of Arndt endobronchial blocker (AEB) for lung isolation when a fiberoptic bronchoscope (FOB) is unavailable.We compared the effectiveness and safety of 3 insertion techniques of AEB: Gum elastic bougie (GEB)-, bougie combined with cricoid displacing (BCD)-, and fiberoptic bronchoscope (FOB)-guided insertion. Seventy-eight patients underg...

Although exophytic endobronchial lesions can readily be diagnosed by routine forceps biopsy through the fiberoptic bronchoscope, submucosal or peribronchial tumor can be difficult to diagnose with nonsurgical techniques. We evaluated the utility of transbronchial needle aspiration (TBNA) through the fiberoptic bronchoscope in 31 patients presenting with endoscopic abnormalities suggestive of su...

Dr. Krensavage and Mr. Richards describe “sudden development of anesthesia circuit obstruction by an end-tidal CO, cap in the gas sampling elbow” in their letter in the July issue of Anesthesia & Analgesza (1). They recommend dismantling the elbow from the circuit tubing and performing a visual inspection of the tubing. This may not be necessary. A technique that I have used and taught for year...

The origins of bronchoscopy date back to 1897 when Gustav Killian, considered “the father of bronchoscopy”, performed the first airway examination with a rigid esophagoscope to a farmer extracting a piece of bone that had lodged in the main stem bronchus. Shigeto Ikeda in 1964 revolutionized the field of bronchoscopy with the introduction of a flexible instrument that could be introduced to sub...

The need for fiberoptic bronchoscopy in the patient with hemoptysis and a normal or nonlocalizing chest roentgenogram remains a subject of debate. Currently, diagnostic fiberoptic bronchoscopy is recommended as the investigative procedure of choice. To develop predictors that identify the patient in whom fiberoptic bronchoscopy is most likely to be diagnostic, we reviewed our community's experi...

Borgeskov, S. and Francis, D. (1974). Thorax, 29, 352-354. A comparison between fine-needle biopsy and fiberoptic bronchoscopy in patients with lung lesions. We present a series of 40 patients with lung lesions in whom a specific diagnosis was not obtained by conventional methods of examination and in whom tumour was not visualized directly by bronchoscopy with a flexible bronchoscope. Bronchia...

Prior to 1978, the conventional treatment of pneumothorax generally consisted of conservative therapies such as rest, needle puncture, or thoracic cavity drainage; however, when conservative therapies were ineffective or relapse occurred therapeutic approach, 34 percent (11/32) of our patients required a thoracotomy. Consequently, in 1981, we began to use alternative therapies to reduce the nee...

STUDY OBJECTIVE To describe a technique for tracheal intubation after failed direct laryngoscopy using a Laryngeal Mask Airway (LMA) to secure the airway and to establish ventilation, and as a conduit for fiberoptic intubation utilizing a pre-packaged, convenient, and commercially available wire-guided catheter exchange kit. DESIGN Retrospective case series. SETTING University hospital. M...

OBJECTIVES/HYPOTHESIS To review airway management in Pierre Robin sequence (PRS) newborns undergoing general anesthesia and to determine if endotracheal intubation is safe in this population. STUDY DESIGN Case series and retrospective chart review at a tertiary children's hospital. METHODS PRS newborns who underwent endotracheal intubation or other airway intervention before 3 months of age...