Bronch Course Objectives
Introduction to Bronchoscopy and Bronchology
Identify the most common indications for pediatric bronchoscopy.
Identify the relative and absolute contraindications to flexible bronchoscopy.
Define the characteristics of flexible and rigid bronchoscopies.
Describe the advantages and disadvantages of flexible vs. rigid instruments
Techniques for Flexible Bronchoscopy: Driving Lesson #1
Recognize successful manipulation of a flexible bronchoscope.
Normal Endoscopic Anatomy Lab
Describe the anatomy of the upper and lower respiratory tract, including all bronchopulmonary segments
Recognize common anatomic variants
The Lower Airways: Normal and Abnormal Findings
Recognize and describe the most common pathological conditions encountered in the trachea and bronchi during bronchoscopy.
Video Lab II: Case Studies of Lower Airway Problems
Review case presentations illustrating various diagnostic entities in the lower airway.
The Upper Airways: Normal and Abnormal Findings
Recognize and describe the most common pathological conditions encountered in the upper airways during pediatric bronchoscopy.
Video Lab III: Case Studies of Upper Airway Problems
Review case presentations illustrating various diagnostic entities encountered in the upper airways during pediatric bronchoscopy.
Bronchoalveolar Lavage (BAL): Indications and Techniques
List the indications for bronchoalveolar lavage in pediatric patients.
Discuss techniques for bronchoalveolar lavage in pediatric patients.
BAL Lab
Review the most common normal and abnormal findings from BAL and their interpretation.
Review case studies and microscopic slides prepared from BAL specimens, illustrating a variety of common and uncommon diagnostic entities.
Rigid Bronchoscopy
Distinguish between the relative indications and relative limitations for rigid vs. flexible bronchoscopy in infant and children.
Describe the basic techniques for rigid bronchoscopy.
Describe the potential benefits of performing both techniques together on the same patient, and when it is appropriate.
Pediatric Tracheostomy Management
Discuss the indications for and technique of tracheostomy in the pediatric population.
Discuss the management of tracheostomy tubes in pediatric patients.
Recognize the utility of flexible bronchoscopy in the management of pediatric tracheostomy tubes.
Surgical pathology of the pediatric airway
Discuss the surgical management of common and less common acquired and congenital abnormalities of the pediatric airway.
Practical pediatric voice and laryngology
Review the impact of pediatric airway pathology and interventions on vocalization.
Discuss methods to assess and modify vocalization in children.
Anesthesia and Sedation for Bronchoscopy
Discuss the basic principles of safe and effective anesthesia/sedation for pediatric bronchoscopy.
Discuss the physiological consequences of sedation during bronchoscopy.
Discuss the appropriate techniques for airway management during flexible bronchoscopy.
Discuss the major complications of pediatric flexible bronchoscopy, their prevention and management.
Special Techniques
Review techniques and indications for endoscopic biopsy, brushing, bronchoscopic intubation, and other special procedures associated with flexible bronchoscopy in pediatric patients.
Care and feeding of flexible bronchoscopes
Review the techniques and logistics of cleaning and maintaining flexible bronchoscopes.
Selected cases illustrating advanced technology
Discuss several cases demonstrating advanced and interventional techniques in clinical scenarios.
Organizing and Operating a Bronchoscopy Program
Describe the necessary setup for a flexible bronchoscopic procedure.
Describe the importance of the endoscopy assistant and describe the assistant’s role.
Explain the organization of a bronchoscopy program and the resources needed.
A Philosophy of Bronchoscopy and Bronchology; How do you now get to be an expert?
Review common cognitive pitfalls in the approach to pediatric bronchoscopy.
Review the necessary components of bronchoscopic competence and ways in which the learner can progress toward competence.