Passing a bronchoscope through artificial airways
M.L. SHTEINER1, 2, YU.I. BIKTAGIROV2, A.V. ZHESTKOV2, E.A. KORYMASOV2, E.P. KRIVOSHCHEKOV2, A.YU. KIBARDIN3, E.A. MAKOVA1, 4
1Samara City Hospital No. 4, Samara
2Samara State Medical University, Samara
3Samara Road Clinical Hospital of PZhD Open Corporation, Samara
4Samara Medical University «Reaviz», Samara
Contact details:
Shteyner M.L. — MD, Associate Professor of the Department of Surgery with the course of endoscopy, physician-endoscopist
Address: 89 Chapaevskaya St., Samara, Russian Federation, 443099, tel.: +7 (846) 260-33, e-mail:
The experience of 811 bronchoscopies (100%) was analysed in patients on artificial lung ventilation. The position of the intubation tube in the trachea during the procedure was assessed. In 78 cases (9,618%) there was an incorrect position of the intubation tube requiring correction. In 35 cases (4,316%), the intubation tube was displaced to the right main bronchus and as result, the left lung was not ventilated. In the remaining cases, various ways of the incorrect position of the intubation tube above the tracheal bifurcation carina were noted. As a recommendation, endoscopic criteria of the correct position of the intubation tube are suggested. For timely diagnostics and correction of such disturbances, it is recommended to perform obligatory bronchoscopic monitoring.
Key words: bronchoscope, bronchoscopy, artificial airway, artificial lung ventilation, intubation tubes.
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