Bronchoscopy in the Critical Care Unit: Indications, Technique, & Safety скачать в хорошем качестве

Bronchoscopy in the Critical Care Unit: Indications, Technique, & Safety

Flexible bronchoscopy is an indispensable tool in the intensivist's armamentarium, serving both diagnostic and therapeutic roles in the management of critically ill patients. This video provides a comprehensive review of bronchoscopy in the ICU setting. We discuss the physiological impact of the procedure on the ventilated patient, review the absolute and relative contraindications, and detail the step-by-step techniques for common ICU indications. Whether you are performing a Bronchoalveolar Lavage (BAL) for VAP diagnosis or managing life-threatening atelectasis, understanding the nuances of this procedure is vital for patient safety. KEY TOPICS COVERED Diagnostic Indications: When to scope? Suspected VAP, persistent infiltrates, hemoptysis, and airway inspection. Therapeutic Applications: Management of severe mucous plugging, foreign body removal, and assisting with difficult intubations or * percutaneous tracheostomies. The Procedure: Step-by-step guide to airway anatomy, maneuvering the scope, and performing a proper BAL or bronchial washing. Ventilator Management: Crucial adjustments to FiO2, alarms, and mode settings to prevent hypoxemia and high peak pressures during the procedure. * Safety & Complications: Managing risks such as hypoxia, arrhythmia, and pneumothorax. Speaker... Dr. Hani Hussein Professor And Head Of The Chest Department, KSU