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(Chest. 1974;65:613-615.)
© 1974 American College of Chest Physicians

Bronchoscopy during Mechanical Ventilation Using the Fiberscope

James P. Shinnick D.O.1; Robert F. Johnston M.D.2; and Theodore Oslick M.D., F.C.C.P.3

1 Division of Pulmonary Diseases, Clinical Associate in Tuberculosis, USPHS Contract No. HSM 21-72-526
2 Director, Division of Pulmonary Diseases
3 Medical Director, Department and School of Respiratory Therapy

Twenty-two patients receiving mechanical respiratory support underwent 28 bronchofiberscopic examinations utilizing an adapter to maintain continuous ventilation. A new adapter is described. It is made from standard respiratory equipment and overcomes the previously described problems with other adapters, ie, air leaks, immobility and cemented components. Bronchoscopy during mechanical ventilation can be performed through endotracheal or tracheostomy tubes. The procedure enables the examiner to visualize the tracheobronchial tree, obtain bronchial washings or biopsies, replace endotracheal tubes under direct vision, and aspirate secretions. The examination can be accomplished with relative ease both to the patient and bronchoscopist.

Submitted on June 26, 1973
Accepted on December 6, 1973






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Copyright © 1974 by the American College of Chest Physicians.