Who needs a bronchoscopy?. Andrew Bush MD FRCP FRCPCH Imperial School of Medicine & Royal Brompton Hospital. Email: firstname.lastname@example.org. Who needs a bronchoscopy?. When the necessary information required is best obtained by flexible bronchoscopy Why am I doing this?
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Andrew Bush MD FRCP FRCPCH
Imperial School of Medicine &
Royal Brompton Hospital
What is the question?
What information do I need?
What is the best bronchoscopic technique?
What is the best anaesthetic technique?
Paediatric: 4.9, 3.6, 2.7 (BAL, Bx, Brush)
Neonatal: 2.2 (Look only)
(where r is the radius of the bronchoscope, and R the radius of the airway)
during bronchoscopy in an
infant (note he was pre-
Haemoptysis - rare unless biopsy, contact bleeding common
Epistaxis (esp. sedation bronchs)
Mucosal oedema - vigorous suctionComplications - mechanical
Bronchoscopy via endotracheal tube
Complete cartilage ring at origin of right main bronchus