Procedure Note: Flexible Bronchoscopy

Time

Now

Consent

verbal emergent patient family

Timeout

emergent protocol

Indication

ETT confirmation airway surveillance secretion clearance hemoptysis foreign body

Preparation/monitoring

RT/equipment O2/pulse oximetry ETCO2 telemetry

Medication

ongoing sedation ketamine propofol etomidate midazolam fentanyl continuation of previous sedation

Bronchoscope Size

slim regular large

Entry

ETT tracheostomy

Specimens

BAL none

Findings

Tube

clean w/o biofilm mucous biofilm

Trachea

no secretions blood mucous purulence friable tissue

Right mainstem

no secretions blood mucous purulence friable tissue

Right upper lobe

no secretions blood mucous purulence friable tissue

Right middle lobe

no secretions blood mucous purulence friable tissue

Right lower lobe

no secretions blood mucous purulence friable tissue

Left mainstem

no secretions blood mucous purulence friable tissue

Left upper lobe

no secretions blood mucous purulence friable tissue

Left lower lobe

no secretions blood mucous purulence friable tissue

Lingula

no secretions blood mucous purulence friable tissue

ETT positioning

above carina right mainstem left mainstem

Complications

none hypoxia hypotension

Provider