This document provides tips and instructions for using a PowerPoint presentation on bronchoscopy. It discusses: - Freely editing, modifying, and adding names to the slides - Many slides being blank except for the title to facilitate active learning sessions - Showing blank slides and asking students questions before presenting content - Repeating the process of showing blank slides, asking questions, and then presenting content multiple times - The presentation being useful for self-study as well - Notes providing references and bibliography

1. Tips on using my ppt.
1. You can freely download, edit, modify and put your
name etc.
2. Don’t be concerned about number of slides. Half the
slides are blanks except for the title.
3. First show the blank slides (eg. Aetiology ) > Ask
students what they already know about ethology of
today's topic. > Then show next slide which enumerates
aetiologies.
4. At the end rerun the show – show blank> ask questions >
show next slide.
5. This will be an ACTIVE LEARNING SESSION x
three revisions.
6. Good for self study also.
7. See notes for bibliography.

2. Introduction & History.

3. Introduction & History.
• Bronchoscopy is a technique of visualizing
the inside of the airways for diagnostic and
therapeutic purposes.
• Bronchoscope is inserted into the airways,
usually through the nose or mouth, or
occasionally through a tracheostomy.
• Gustav Killian, performed the first
bronchoscopy in 1897
• Chevalier Jackson and Victor Negus
refined the rigid bronchoscope in the 1920s,

4. Introduction & History.
• A Japanese, Shigeto Ikeda, invented the
flexible bronchoscope in 1966.
• Lately fiberoptic scopes have been replaced
by bronchoscopes with a charge coupled
device (CCD) video chip located at their
distal extremity.
• More recently EUS Bronchoscopic
Sonography.

5. Types

6. Types
• Rigid.
• Flexible :Fibreoptic.
• Flexible :Video bronchoscope.
• EBUS: Endobronchial Ultrasound.

7. Indications
Diagnostic
•

8. Indications
Diagnostic
• Diagnosis of lung cancer
• Chest radiographic abnormality
• Haemoptysis
• Persistent or recurrent cough
• paralysed vocal cord
• Positive sputum cytology.
• Bronchial obstruction
• Atelectasis

9. Indications
Diagnostic
• Staging of lung cancer
• diagnosis of diffuse lung disease
• Identification of infecting agents
• Localized wheeze.

10. Indications
Therapeutic
• Insertion of an endotracheal tube for
general anesthesia.
• Tamponade of endobronchial bleeding .
• Removal of foreign bodies.
• Aspiration of secretions .
• Relief of tracheobronchial narrowing by
laser treatment.

11. EBUS:.
Endobronchial Ultrasound
• a technique that uses ultrasound along with
bronchoscopy to visualize the airway wall
and structures adjacent to it.
• It allows real-time guidance of
transbronchial needle aspiration (TBNA) of
mediastinal and hilar structures and
parabronchial lung masses.

12. EBUS:Indications.

13. EBUS:Indications.
• Staging of non-small cell lung cancer
(NSCLC).
• Evaluation of mediastinal lesions,
intrapulmonary pulmonary nodules, and
endobronchial lesions.
• Guidance of endobronchial therapy-
– resection of endobronchial lesions
– stricture dilatation
– Stenting
– laser therapy
– argon plasma coagulation

14. Position
• Semisitting.

15. Anesthesia
• Topical
• GA

16. Complications

17. Complications
• Pneumothorax
• Haemorrhage
• Complications of sedation and topical anaesthesia
– Epileptic seizures
– Cardiac dysarrythmias,
– Hypoventilation
– Laryngospasm)
• Bronchospasm in asthmatics
• Cvs – minor vasovagal episode to serious cardiac
dysaaryhtmias, myocardial infarction, pulmonary edema
• Hypoxaemia

18. Contraindications
• Uncooperative patient
• Uncorrectable hypoxaemia/ hypercapnia
• Unstable myocardium
• uncorrectable bleeding tendency
• Tracheal stenosis
• Poorly controlled asthma

19. Get this ppt in mobile
1. Download Microsoft
PowerPoint from play
store.
2. Open Google assistant
3. Open Google lens.
4. Scan qr code from
next slide.

20. Get this ppt in mobile

21. Get my ppt collection
• https://www.slideshare.net/drpradeeppande/
edit_my_uploads
• https://www.dropbox.com/sh/x600md3cvj8
5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl
=0
• https://www.facebook.com/doctorpradeeppa
nde/?ref=pages_you_manage