6、纤支镜技术的应用（6. Application of bronchoscope technique）.docVIP

6、纤支镜技术的应用（6. Application of bronchoscope technique） The application of sixth sections of fiberoptic bronchoscopy Fiberoptic bronchoscopy is common Department of respiration examination and treatment method, currently used in pediatric intensive care are increasing gradually, its significance lies in: diagnosis of airway disease, treatment of lung inflammation, bleeding and so on, and the removal of tracheobronchial foreign bodies, the application method of the ICU is introduced as follows. [indications] Chest X-ray or CT examination indicated abnormal airway Examination and treatment of persistent or recurrent atelectasis Scavenging respiratory secretions Bacteriological diagnosis of pulmonary infection Unexplained localized wheeze Hoarseness of unknown cause Visual endotracheal intubation [contraindications] Severe cardiac insufficiency Severe arrhythmia Severe pulmonary insufficiency, dyspnea, absence of mechanical ventilation Hemoptysis due to pulmonary hemorrhage A bleeding tendency that cannot be corrected Severe pulmonary hypertension is poorly controlled A person who is seriously weakened [preoperative preparation] The doctor prepares (an operator, an assistant) Detailed understanding of the medical history, estimation of the disease, and write a summary of fiberoptic bronchoscopy. Grasp the indications strictly. Read your chest or make CT carefully. To the families of children to clarify the purpose, significance and safety of the relevant matters, and obtain approval. Prepare the required drugs and other necessary equipment and review the dose of the drug carefully. The choice of a suitable fiberoptic bronchoscope: if the bronchoscope is too thick, can cause dyspnea and asphyxia during operation, and can damage the glottis and trachea mucosa, causing edema and laryngeal spasm. Children over 1 years of age: external diameter 4.8mm fiberoptic bronchoscopy Small baby: a thinner fiberoptic bronchoscope, such as an outer diameter of 3. 6mms fiberoptic bronchosc