The Necessary accessory and needs for the fiberoptic bronchoscope procedure kept ready on the endoscopy trolley. Check the fiber optic bronchoscope connected to light cable from light source console and camera console
Camera console is connected via adapted with fine adjustment and other settings
Tighten it with the fiberscope and lock it to avoid falling and slipping
Ensure fiber optic has been cleaned and disinfected before every use. Check mechanical function by ensuring that the tip moves in the appropriate direction( anteversion and retroversion)
Check the suction valve and appropriate negative pressure needed for suctioning
Connect the light cable and check with light source and brightness. Check with the camera at 12’ o’clock position with fine vision
Adjust with fine adjustment with the letter for better visuals.
Note: Check the date of Bulb changed in light source console by the way hours of a light source used according to the case done on average. This helps in scheduling the change of bulb and avoid errors during the procedure
Do not touch the light source with gloved or bare hands after use. The heat generated in the light source cable and adapter can harm the user or patients
In this situation, use cotton pads or gauze pieces to hold the cable.
Defog the lens using an appropriate solution and sterile clean gauze.
Material needed for Bronchoscopy
Keep ready with following instruments and accessories
Mouth gag/Berman oral airways
Bronchoscope airway
Berman’s Airway
Ovassapian airway
Williams airway for Intubation
Endoscopy mask
Catheter Mount in case of patients intubated
Jelly for lubrication
Topical anesthesia
Syringe for flushing
Clean sterile lint-free gauze pieces
Saline Bottle for flush
Bowl for saline and solution for cleaning
Endotracheal tube in different sizes
Laryngoscope for intubation
Bain’s circuit
Face mask for mask ventilation
Spray used in Fiber Optic
Xylometazoline 0.1 % (Otrivine ) for vasoconstriction
10 % xylocaine spray for topical anesthesia
2 % Xylocaine Jelly for local anesthesia and lubrication
Adrenaline for vasoconstriction
