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The bronchoscopy with a fiberoptic bronchoscope in endobronchial intubation with double lumen tubes experiences and prospects

The bronchoscopy with a fiberoptic bronchoscope in endobronchial intubation with double lumen tubes experiences and prospects

Acta Anaesthesiologica Italica 41(3): 603-608

ISSN/ISBN: 0374-4965

Bronchoscopy, performed with a flexible fibreoptic bronchoscope (like Pentax FB 15H) during pulmonary surgery operation, when doublelumen endobronchial tubes are used (like Portex 6.0 mm), ensures a clear diagnosis and the correction of any tubes incorrect and unperceived placing, with ensuing disventilation. Furthermore it facilitates the aimed bronchoaspiration of thick secretions: this reduces the risk of postoperative infections that are often caused by segmental or lobar atelectasis. A correct placing of endobronchial tubes and aimed bronchoaspiration are now current cares for an anaesthetic management; but the continous visualization and the selective insufflation of single bronchopulmonary segments during operation can be considered an interesting aid to future pulmonary surgery.

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Accession: 007875644

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