Bronchoscopy
| Anesthesia type |
GA vs. MAC |
|---|---|
| Airway |
ETT (use > 8.0 tube) / LMA |
| Lines and access |
PIV x 1 |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 1 |
A bronchoscopy is a procedure that involves examining the tracheobronchial tree for diagnostic and/or therapeutic purposes. The bronchoscope can either be flexible or rigid. Flexible bronchoscopes, which are more commonly used, have multiple ports that allow the proceduralist to visualize, suction, irrigate, and take biopsies. Spontaneous ventilation can be maintained when using a flexible bronchoscope, which affords the possibility of doing this procedure on an awake patient (although a flexible scope can also be introduced via an LMA/ETT). A rigid bronchoscope has a larger working channel, which allows for the introduction of larger instruments for grasping, sampling, or retrieving samples or foreign objects.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Barrett Larson and Chris Rishel