You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.
You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.
You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.
You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.
Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.
Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
▶Ep 2 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 2 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 2 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 2 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 2 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 2 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 2 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 2 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 2 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 2 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 2 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 2 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 2 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 2 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 2 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 2 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 2 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
▶Ep 2 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
▶Ep 4 · 8:57
clinicalA bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.↗
▶Ep 4 · 8:57
clinicalA bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.↗
▶Ep 4 · 15:10
clinicalA 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.↗
▶Ep 4 · 15:10
clinicalA 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.↗
▶Ep 4 · 17:42
clinicalOne of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.↗
▶Ep 4 · 17:42
clinicalOne of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.↗
▶Ep 4 · 17:46
quoteOne of the problems we've had is not being aggressive enough with cauterization.↗
▶Ep 4 · 17:46
quoteOne of the problems we've had is not being aggressive enough with cauterization.↗
▶Ep 4 · 18:03
clinicalWith a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization.↗
▶Ep 4 · 18:03
clinicalWith a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization.↗
▶Ep 4 · 26:10
clinicalPatients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.↗
▶Ep 4 · 26:10
clinicalPatients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.↗
▶Ep 4 · 58:30
quoteTake a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.↗
▶Ep 4 · 58:30
quoteTake a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.↗
▶Ep 4 · 1:13:30
clinicalThe retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall.↗
▶Ep 4 · 1:13:30
clinicalThe retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall.↗
▶Ep 4 · 1:14:15
clinicalInsufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view.↗
▶Ep 4 · 1:14:15
clinicalInsufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view.↗
▶Ep 4 · 1:14:51
clinicalWhen advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing.↗
▶Ep 4 · 1:14:51
clinicalWhen advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing.↗
▶Ep 4 · 1:43:43
clinicalA flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation.↗
▶Ep 4 · 1:43:43
clinicalA flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation.↗
▶Ep 4 · 1:43:53
quoteYou can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.↗
▶Ep 4 · 1:43:53
quoteYou can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.↗
▶Ep 4 · 1:44:02
quoteYou've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.↗
▶Ep 4 · 1:44:02
quoteYou've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.↗
▶Ep 4 · 1:44:02
clinicalFor anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.↗
▶Ep 4 · 1:44:02
clinicalFor anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.↗
▶Ep 4 · 1:46:00
clinicalMarsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.↗
▶Ep 4 · 1:46:00
clinicalMarsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.↗
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
▶Ep 1 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 1 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 1 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 1 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 1 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 1 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 1 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 1 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 1 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 1 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 1 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 1 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 1 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 1 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 1 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 1 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 1 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
▶Ep 1 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
▶Ep 6 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 6 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 6 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 6 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 6 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 6 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 6 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 6 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 6 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
▶Ep 7 · 8:57
clinicalA bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.↗
▶Ep 7 · 15:10
clinicalA 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.↗
▶Ep 7 · 17:42
clinicalOne of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.↗
▶Ep 7 · 17:46
quoteOne of the problems we've had is not being aggressive enough with cauterization.↗
▶Ep 7 · 18:03
clinicalWith a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization.↗
▶Ep 7 · 26:10
clinicalPatients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.↗
▶Ep 7 · 58:30
quoteTake a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.↗
▶Ep 7 · 1:13:30
clinicalThe retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall.↗
▶Ep 7 · 1:14:15
clinicalInsufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view.↗
▶Ep 7 · 1:14:51
clinicalWhen advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing.↗
▶Ep 7 · 1:43:43
clinicalA flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation.↗
▶Ep 7 · 1:43:53
quoteYou can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.↗
▶Ep 7 · 1:44:02
quoteYou've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.↗
▶Ep 7 · 1:44:02
clinicalFor anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.↗
▶Ep 7 · 1:46:00
clinicalMarsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.↗
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
▶Ep 4 · 8:05
clinicalLipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration.↗
▶Ep 4 · 27:54
clinicalA 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip.↗
▶Ep 4 · 1:11:14
quoteSeek and ye shall find. If you do not look for it, you cannot find it.↗
▶Ep 4 · 1:11:14
quoteIf you do not look for it, you cannot find it.↗
▶Ep 4 · 1:11:20
quoteWNL does not mean within normal limits. It means we never look.↗
▶Ep 4 · 1:26:30
clinicalThe degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.↗
▶Ep 4 · 1:26:58
clinicalInsufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.↗
▶Ep 4 · 1:27:43
clinicalWhen examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.↗
▶Ep 4 · 1:56:27
clinicalFlexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.↗
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
▶Ep 5 · 8:57
clinicalA bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.↗
▶Ep 5 · 15:10
clinicalA 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.↗
▶Ep 5 · 17:42
clinicalOne of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.↗
▶Ep 5 · 17:46
quoteOne of the problems we've had is not being aggressive enough with cauterization.↗
▶Ep 5 · 18:03
clinicalWith a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization.↗
▶Ep 5 · 26:10
clinicalPatients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.↗
▶Ep 5 · 58:30
quoteTake a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look.↗
▶Ep 5 · 1:13:30
clinicalThe retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall.↗
▶Ep 5 · 1:14:15
clinicalInsufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view.↗
▶Ep 5 · 1:14:51
clinicalWhen advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing.↗
▶Ep 5 · 1:43:43
clinicalA flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation.↗
▶Ep 5 · 1:43:53
quoteYou can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.↗
▶Ep 5 · 1:44:02
quoteYou've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.↗
▶Ep 5 · 1:44:02
clinicalFor anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.↗
▶Ep 5 · 1:46:00
clinicalMarsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.↗
