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

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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.

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Suggested Reading

  1. Ikeda S, Yanai N, Ishikawa S. Flexible bronchofiberscope. Keio J Med. 1968;17:1–16.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  3. Olympus CV-180 (Evis bronchoscopy systems operation manual).

    Google Scholar 

  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. Olympus America Inc. How to prevent instrument malfunctions for gastrointestinal and bronchial endoscopes. Olympus Americo Inc. 3500 compound parkway center valley, PA 18034–0610

    Google Scholar 

  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. 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. 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.

    Chapter  Google Scholar 

  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. 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.

    Article  PubMed  Google Scholar 

  11. Kirkpatrick MB, Smith JR, Hoffman PJ. Bronchoscope damage and repair costs: results of a regional postal survey. Respir Care. 1992;37:1256–9.

    PubMed  CAS  Google Scholar 

  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. 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.

    Article  PubMed  Google Scholar 

  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. 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. Colt HG, Prakash UBS, Offord KP. Bronchoscopy in North America survey by the American Association for Bronchology, 1999. J Bronchol. 2000;7:8–25.

    Article  Google Scholar 

  17. Ernst A, Silvestri G, Johnstone D. Interventional pulmonary procedures; guidelines from the American college of Chest Physicians. Chest. 2003;123:1693–717.

    Article  PubMed  Google Scholar 

  18. Prakash UBS, Offord KP, Stubbs SE. Bronchoscopy in North America: the ACCP survey. Chest. 1991;100:1668–75.

    Article  PubMed  CAS  Google Scholar 

  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.

    PubMed  CAS  Google Scholar 

  20. Ernst A. Introduction to bronchoscopy. Cambridge: Cambridge University Press; 2009.

    Google Scholar 

  21. Fragosa E, Goncalves J. Role of fiberoptic bronchoscopy in intensive care unit. J Bronchol Interv Pulmonol. 2011;18:69–83.

    Article  Google Scholar 

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Correspondence to Robert Garland .

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Garland, R. (2013). The Bronchoscope: What is Available, Determining Selection, and How to Properly Care for the Instrument. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_3

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  • DOI: https://doi.org/10.1007/978-1-4614-4292-9_3

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4291-2

  • Online ISBN: 978-1-4614-4292-9

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