Bronchoscopy Unit in Sulaymaniyah Teaching Hospital, Sulaymaniyah, Iraq 2003.

1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
Bronchoscopy Unit in Sulaymaniyah
Teaching Hospital, Sulaymaniyah,
Iraq
2003
Prof. Abdulsalam Y Taha
College of Medicine
University of Sulaimani
2022

2. Diagnostic bronchoscopy
 Abnormal thoracic radiogram, localized lesion.
 Unresolving lobar or segmental pneumonia.
 Lung biopsy for diffuse parenchymal lung disease.
 Bronchoalveolar lavage.
 Hemoptysis.
 New or unexplained cough.
 Stridor or localized wheezing.
 Suspected broncheictasis.
 Suspected foreign body.
 Suspected broncholithiasis.
 Malignant pleural effusion.
 Neoplasm suggested by cytological examination of sputum
 Immunocopromised patient with new pulmonary infiltrate.
 Major thoracic trauma.
 Upper esophageal lesions.
August 22
Prof. Abdulsalam Y Taha 2

3. Therapeutic bronchoscopy
 Postoperative atelectasis.
 Retained secretions or mucus plugs.
 Removal of a foreign body.
 Localized management of tumours with
phototherapy, laser cautery, or
cryotherapy.
 Brachytherapy.
 Management of life-threatening bleeding.
August 22
Prof. Abdulsalam Y Taha 3

4. GAUGE OF BRONCHOSCOPE IN
RELATION TO AGE OF PATIENT
 Age Bronchoscope
 -------------------------------------------
 Adult 8 mm x 40 cm
 Adolescent 7 mm x 40 cm
 6- 12 yr 6 mm x 35 cm
 2- 5 yr 5 mm x 30 cm
 12- 24 mo 4 mm x 30 cm
 6 - 12 mo 3.5 mm x 25cm
 Under 6 mo 3 mm x 25 cm
August 22
Prof. Abdulsalam Y Taha 4

5. Advantages and Disadvantages of Flexible Bronchoscopy
Advantages Disadvantages
Patient tolerance Instrument channel size
Topical anaesthesia Sterelization
Field of view Maintenance
Angle of deflection
Versatility
Ambulatory setting
Ventilator-dependent setting
Useful in:
1. Cervical spine disorders
2. Transbronchial needle aspiration
3. Subsegmental intervention
4. Brachytherapy
5. Immunotherapy
August 22
Prof. Abdulsalam Y Taha 5

6. August 22
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7. August 22
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8. August 22
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9. August 22
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10. August 22
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11. August 22
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12. August 22
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13. August 22
Prof. Abdulsalam Y Taha 13