Bronchoscopy is one of the most commonly performed medical procedures and also defines the procedural practice of chest physicians and surgeons. In most training programs, however, there is little structured education and trainees learn by watching and doing. This book is intended as a roadmap for any physician looking to master or improve skills in this important area. It outlines what the authors, who are all experts in the field, think a standard approach to common procedures should be and covers everything from anatomy and equipment care to how to set up a bronchoscopy unit. Step- by-step descriptions and abundant illustrations provide the reader with detailed instructions for performing diagnostic procedures such as bronchial washing and lavage, lung biopsy, and transbronchial needle aspiration. This book also discusses bronchoscopy in the ICU and lung transplant patients. Advanced diagnostic bronchoscopy and basic therapeutic techniques are reviewed in the final two chapters.
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1. A short history of bronchoscopy Heinrich D. Becker; 2. MDCT imaging of the central airways Karen S. Lee and Phillip M. Boiselle; 3. The larynx Daniel C. Chelius, Jr. and William W. Lunn; 4. Airway anatomy of the bronchoscopist Rani Kumaran, Arthur Sung and Armin Ernst; 5. Anesthesia for bronchoscopy John Pawlowski and Stephen Pratt; 6. Anatomy and care of the bronchoscope Robert Garland; 7. Starting and managing a bronchoscopy unit Rabih Bechara; 8. Flexibility bronchoscopy: indications, contraindications, and consent Aaron B. Waxman; 9. Bronchial washing, bronchioalveolar lavage, bronchial brush, and endobronchial biopsy Carla Lamb; 10. Transbronchial lung biopsy Scott Shofer and Momen M. Wahidi; 11. Transbronchial needle aspiration William Fischer and David Feller-Kopman; 12. Bronchoscopy in the ICU Jed A. Gorden; 13. Bronchoscopy in the lung transplant patient Anne L. Fuhlbrigge; 14. Advanced diagnostic bronchoscopy Ross Morgan and Armin Ernst; 15. Basic therapeutic techniques Luis F. Angel and Deborah J. Levine.
