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Thoracic Surgery and Rigid Bronchoscopy

  • Jen Chang
  • Mona Sarkiss
Reference work entry

Abstract

Rigid bronchoscopy is an invaluable tool utilized by the interventional pulmonologist or thoracic surgeon providing a less invasive alternative to surgery for high-risk patients or inoperable lung tumors. Rigid bronchoscopy has many indications including examining the airway, intervening for central airway obstruction, and placement of tracheal or endobronchial stents. As insertion of the rigid bronchoscope is highly stimulating, general anesthesia or deep sedation is necessary; management can be challenging for the anesthesia provider in regard to both anesthetic technique and ventilation modality. Unique considerations are required as the airway is shared between the anesthesia provider and bronchoscopist. As with any invasive procedure, there are inherent risks and postprocedural complications associated with rigid bronchoscopy. This chapter provides the fundamentals of rigid bronchoscopy including the patient population encountered, equipment setup, procedural details, common interventions, as well as complications that may be encountered immediately in the postoperative period or later following discharge home.

Keywords

Airway compression Airway stent Central airway obstruction Interventional pulmonology Jet ventilation Rigid bronchoscopy Therapeutic bronchoscopy 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jen Chang
    • 1
  • Mona Sarkiss
    • 2
  1. 1.Department of Anesthesiology and Perioperative MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of Anesthesiology and Perioperative Medicine, Department of Pulmonary MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

Section editors and affiliations

  • Garry Brydges
    • 1
  1. 1.Division of Anesthesia, Critical Care and Pain Medicine, Department of AnesthesiologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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