Bob Wood
105 statements · 4 topics
Featured statements
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.
quote ·
Aerodigestive / ENT
When 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.
clinical ·
Aerodigestive / ENT
When 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.
clinical ·
Esophageal Atresia
The 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.
clinical ·
CHARGE Syndrome
The 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.
clinical ·
Esophageal Atresia
A 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.
clinical ·
Tracheoesophageal Fistula
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Bob's statements about Aerodigestive / ENT 39 statements
Open the Aerodigestive / ENT collection →
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
Statement
Lipid-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.
Open
Statement
A 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.
Open
Statement
The 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.
Open
Statement
Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.
Open
Statement
When 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.
Open
Statement
Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.
Open
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
Statement
A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.
Open
Statement
A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.
Open
Statement
A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.
Open
Statement
A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.
Open
Statement
One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.
Open
Statement
One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.
Open
Statement
With 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.
Open
Statement
With 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.
Open
Statement
Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.
Open
Statement
Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Insufflating 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.
Open
Statement
Insufflating 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.
Open
Statement
When 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.
Open
Statement
When 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.
Open
Statement
A 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.
Open
Statement
A 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.
Open
Quotation
You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.
Open
Quotation
You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.
Open
Statement
For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.
Open
Quotation
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.
Open
Statement
For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.
Open
Quotation
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.
Open
Statement
Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.
Open
Statement
Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.
Open
Bob's statements about CHARGE Syndrome 18 statements
Open the CHARGE Syndrome collection →
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
Statement
Lipid-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.
Open
Statement
Lipid-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.
Open
Statement
A 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.
Open
Statement
A 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.
Open
Statement
The 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.
Open
Statement
The 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.
Open
Statement
Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.
Open
Statement
Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.
Open
Statement
When 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.
Open
Statement
When 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.
Open
Statement
Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.
Open
Statement
Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.
Open
Bob's statements about Esophageal Atresia 24 statements
Open the Esophageal Atresia collection →
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
Statement
Lipid-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.
Open
Statement
A 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.
Open
Statement
The 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.
Open
Statement
Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.
Open
Statement
When 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.
Open
Statement
Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.
Open
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
Statement
A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.
Open
Statement
A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.
Open
Statement
One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.
Open
Statement
With 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.
Open
Statement
Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.
Open
Quotation
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.
Open
Statement
The 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.
Open
Statement
Insufflating 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.
Open
Statement
When 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.
Open
Statement
A 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.
Open
Quotation
You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.
Open
Statement
For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.
Open
Quotation
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.
Open
Statement
Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.
Open
Bob's statements about Tracheoesophageal Fistula 24 statements
Open the Tracheoesophageal Fistula collection →
Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula
Statement
Lipid-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.
Open
Statement
A 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.
Open
Statement
The 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.
Open
Statement
Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations.
Open
Statement
When 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.
Open
Statement
Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected.
Open
TEF Presentations (Extended): Aerodigestive & Esophageal Surgery
Statement
A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings.
Open
Statement
A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip.
Open
Statement
One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright.
Open
Statement
With 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.
Open
Statement
Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%.
Open
Quotation
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.
Open
Statement
The 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.
Open
Statement
Insufflating 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.
Open
Statement
When 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.
Open
Statement
A 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.
Open
Quotation
You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.
Open
Quotation
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.
Open
Statement
For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection.
Open
Statement
Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well.
Open