Advertisement

The Bronchoscope: What is Available, Determining Selection, and How to Properly Care for the Instrument

  • Robert GarlandEmail author
Chapter

Abstract

The flexible bronchoscope has evolved over 40 years from an optical device that allowed one person to visualize the upper airway with questionable imaging to an instrument which now can be viewed by many, through high-resolution video monitors on a microscopic level to see the underlying capillaries beneath the surface and even deeper into the surrounding anatomy to allow real-time access to assist in the diagnosis of mediastinal disease. This technology of course comes with a price, and the cost of damage to these delicate tools can be overwhelming to a department’s repair budget. Fortunately, there are measures that can be implemented to prevent significant damage and decisions to be made when damage occurs to control expenses.

Keywords

Narrow Band Imaging Insertion Tube Argon Plasma Coagulation Flexible Bronchoscope Rigid Bronchoscope 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Ikeda S, Yanai N, Ishikawa S. Flexible bronchofiberscope. Keio J Med. 1968;17:1–16.PubMedCrossRefGoogle Scholar
  2. 2.
    Mehta AC, Curtis PS, Scalzitti ML, Meeker DP. The high price of bronchoscopy. Maintenance and repair of the flexible fiberoptic bronchoscope. Chest. 1990;98:448–54.PubMedCrossRefGoogle Scholar
  3. 3.
    Olympus CV-180 (Evis bronchoscopy systems operation manual).Google Scholar
  4. 4.
    Karl Stoz Endoscopy-America Inc. Non-invasive troubleshooting of endoscopic video systems. Educational Design, P.O. Box 22275, Denven CO 80222.Google Scholar
  5. 5.
    Olympus America Inc. How to prevent instrument malfunctions for gastrointestinal and bronchial endoscopes. Olympus Americo Inc. 3500 compound parkway center valley, PA 18034–0610Google Scholar
  6. 6.
    Mehta A, Siddiqi A, Walsh A. Prevention of damage and maintenance of a flexible bronchoscope. In: Beamis J, Mathur P, editors. Interventional pulmonology, vol. 2. New York: McGraw Hill; 1999. p. 9–16.Google Scholar
  7. 7.
    Lee FYW. Care and maintenance of the flexible bronchoscope. In: Feinsilver SH, Fein AM, editors. Textbook of bronchoscopy. Baltimore: Williams and Wilkins; 1995. p. 100–8.Google Scholar
  8. 8.
    Prakash UBS. Bronchoscopy unit, expertise, equipment and personnel. In: Bollinger CT, Mathur PN, editors. Interventional bronchoscopy, Progress in Respiratory Research, vol. 30. Basel: Karger; 2000. p. 31–43.CrossRefGoogle Scholar
  9. 9.
    Culver D, Minai O, Gordon S, Mehta A. Infection control and ­radiation safety in the bronchoscopy suite. In: Wang K, Mehta A, Turner J, editors: Flexible bronchoscopy. 2nd ed., Blackwell Publishing, 2004;3:9–25.Google Scholar
  10. 10.
    Mehta A, Prakash U, Garland R, Haponick E, Moses L, Schaffner W, Silvestri G. American College of Chest Physicians and American Association for Bronchology consensus ­statement—prevention of flexible bronchoscopy-associated infection. Chest. 2005;128:1742–55.PubMedCrossRefGoogle Scholar
  11. 11.
    Kirkpatrick MB, Smith JR, Hoffman PJ. Bronchoscope damage and repair costs: results of a regional postal survey. Respir Care. 1992;37:1256–9.PubMedGoogle Scholar
  12. 12.
    Stelck M, Kulas M, Mehta A. Maintenance of the bronchoscope and bronchoscopy equipment. In: Prakash U, editor. Bronchoscopy, vol. 28. New York: Raven; 1994. p. 381–91.Google Scholar
  13. 13.
    Lunn W, Garland R, Gryniuk L, Smith L, Feller-Kopman D, Ernst A. Reducing maintenance and repair costs in an interventional pulmonology program. Chest. 2005;127:1382–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Guidelines for preventing the transmission of mycobacterium tuberculosis in health – care settings, 2005. MMWR. 30 Dec 2005; 54/No. RR-17:1–147.Google Scholar
  15. 15.
    Prakash UBS, Cortese DA, Stubbs SE. Technical solutions to ­common problems in bronchoscopy. In: Prakash UBS, editor. Bronchoscopy. New York: Raven; 1994. p. 111–33.Google Scholar
  16. 16.
    Colt HG, Prakash UBS, Offord KP. Bronchoscopy in North America survey by the American Association for Bronchology, 1999. J Bronchol. 2000;7:8–25.CrossRefGoogle Scholar
  17. 17.
    Ernst A, Silvestri G, Johnstone D. Interventional pulmonary procedures; guidelines from the American college of Chest Physicians. Chest. 2003;123:1693–717.PubMedCrossRefGoogle Scholar
  18. 18.
    Prakash UBS, Offord KP, Stubbs SE. Bronchoscopy in North America: the ACCP survey. Chest. 1991;100:1668–75.PubMedCrossRefGoogle Scholar
  19. 19.
    Noppen M, Meysman M, D’Haese J, et al. Interventional bronchoscopy: 5-year experience at the Academic Hospital of the Vrije Universiteit Brussel (AZ-VUB). Acta Clin Belg. 1997;52(6):371–80.PubMedGoogle Scholar
  20. 20.
    Ernst A. Introduction to bronchoscopy. Cambridge: Cambridge University Press; 2009.Google Scholar
  21. 21.
    Fragosa E, Goncalves J. Role of fiberoptic bronchoscopy in intensive care unit. J Bronchol Interv Pulmonol. 2011;18:69–83.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Pulmonary Services, St. Elizabeth’s Medical CenterBostonUSA

Personalised recommendations