Open Access Medical Books

GLOBAL PERSPECTIVES ON BRONCHOSCOPY

BRONCHOSCOPY
Edited by Sai Praveen Haranath and Samiya Razvi .

Bronchoscopy has become an essential part of modern medicine. Recent advances in 
technology have allowed integration of ultrasound with this tool. The use of lasers 
along with bronchoscopes has increased the therapeutic utility of this device. Globally 
an increasing number of pulmonary specialists, anaesthesiologists and thoracic 
surgeons are using the bronchoscope to expedite diagnosis and treatment. The current 
volume on bronchoscopy adds to the vast body of knowledge on this topic. The 
contributions from around the world cover the breadth of this field and include 
cutting edge uses as well as a section on pediatric bronchoscopy.
This was a tough job for me as an editor of the book, since the authors wrote vast 
and extensive chapters . It was a great experience. I would request readers to review 
the book and suggest areas for modification or further topic additions for future 
versions. Every care has been taken to ensure the accuracy of information and 
authors are aware of the strict rules against plagiarism. The book is divided in 
various sections in order to make it easier for the beginner, as well as the advanced
reader to have a rapid overview of this topic. The section on pediatric bronchoscopy 
highlights issues specific to children that are recognizably different from adults, 
including airway anatomy, anesthesia considerations and the emerging field of 
diagnostic and therapeutic procedures in this age group. A major indication for 
bronchoscopy in infants and young children continues to be evaluation for 
congenital airway malformations, and both common and uncommon disorders 
are reviewed with illustrations in this text.
As a pulmonary and critical care physician it has been fulfilling to see the chapters 
on special areas like bronchoscopy in bronchiectasis as well as in the intensive care 
unit. Practical uses like managing and monitoring the airway during percutaneous 
tracheostomy performance has an entire chapter devoted to this evolving topic . In 
summary, this book is a great testament to the power of collaboration and is a 
superb resource for doctors in training, ancillary team members as well as practicing 
healthcare providers who have to perform or arrange bronchoscopy or the similar
procedures. I would like to sincerely thank my associate editor Dr Samiya Razvi for 
ensuring the pediatric section to integrate well into this comprehensive book. I am 
grateful to InTech as well as Jana Sertic, my coordinator, for her patient yet firm 
requests for expediting this book. I hope the readers will find this book enjoyable for 
reading and that they will recignize a contemporary source of knowledge in our 
book.

Dr. Sai Praveen Haranath
Consultant Pulmonologist and Critical Care Medicine Specialist,
Axon Anesthesia Associates, Hyderabad,
Apollo Hospitals, Jubilee Hills, Hyderabad,
India

Dr. Samiya Razvi
Consultant Pediatric Pulmonologist,
Apollo Hospitals, Jubilee Hills, Hyderabad,
India

CONTENTS :

Section 1 Basics of Bronchoscopy 1


Chapter 1 Role of Flexible-Bronchoscopy in 
Pulmonary and Critical Care Practice 3
Gilda Diaz-Fuentes and Sindhaghatta K. Venkatram

Chapter 2 Monitoring, Sedation, and Anesthesia 
for Flexible Fiberoptic Bronchoscopy 35
Michael J. Morris, Herbert P. Kwon and Thomas B. Zanders

Section 2 Bronchoscopic Investigations 55


Chapter 3 Role of Broncoalveolar Lavage in Diagnosis 57
Mohammad Shameem

Chapter 4 Lung Cancer – CT Vs Bronchoscopy 71
António Saraiva and Christopher Oliveira

Section 3 Bronchoscopy in Special Situations 89

Chapter 5 Bronchoscopy in
Mechanically Ventilated Patients 91
Angel Estella

Chapter 6 Bronchoscopy in Bronchiectasis and Cystic Fibrosis 107
Aditya Kasarabada, Mark E. Lund and Jeffrey B. Hoag

Section 4 Evolving Therapeutic Uses of Bronchoscopy 125


Chapter 7 Endotracheal Intubation with 
Flexible Fiberoptic Bronchoscope (FFB) in Cases of Difficult Airway 127
Francisco Navarro, Raúl Cicero and Andrea Colli

Chapter 8 Bronchoscopic Balloon Dilation (BBD) 
for Benign Tracheobronchial Stenosis 135
Masayuki Tanahashi, Hiroshi Niwa, Haruhiro Yukiue, Eriko Suzuki, Hiroshi Haneda,
Naoko Yoshii and Hisanori Kani

Chapter 9 Endoscopic Percutaneous Tracheotomy in Prolonged 
Intubation of Mechanical Ventilated Patients Admitted in Cardio-Thoracic Intensive Care Unit 151
Rosa Mastropierro, Michela Bettinzoli and Aldo Manzato

Section 5 Pediatric Bronchoscopy 175


Chapter 10 Pediatric Bronchoscopy 177
Selma Maria de Azevedo Sias, Ana Cristina Barbosa Domingues and Rosana V. Mannarino

Chapter 11 Manual Jet Ventilation Using 
Manujet III for Bronchoscopic Airway Foreign Body Removal in Children 201
Shaoqing Li, Yuqi Liu and Fang Tan

Chapter 12 Utility of Pediatric Flexible Bronchoscopy 
in the Diagnosis and Treatment of Congenital Airway Malformations in Children 219
Yong Yin, Shuhua Yuan, Wenwei Zhong and Yu Ding .


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