Volume 86, Issue 2, Pages (August 1984)

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Presentation transcript:

Volume 86, Issue 2, Pages 163-168 (August 1984) Principles for Safety in Application of Neodymium-YAG Laser in Bronchology J.F. Dumon, M.D., F.C.C.P., S. Shapshay, M.D., J. Bourcereau, M.D., S. Cavaliere, M.D., B. Meric, M.D., N. Garbi, M.D., J. Beamis, M.D., F.C.C.P. CHEST Volume 86, Issue 2, Pages 163-168 (August 1984) DOI: 10.1378/chest.86.2.163 Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Custom-made Wolf bronchoscope fitted with telescope, suction tube and laser fiber. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Drawing by Fisher8 showing penetration in function of time, (by permission) CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Hypoxemia: tracheal obstruction; operator withdraws bronchoscope and performs bronchial toilet with closed circuit oxygenation. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Hypoxemia: unilateral obstruction operator withdraws bronchoscope and performs tracheobronchial toilet and healthy side under closed circuit conditions. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 5 Tracheal hemorrhage: operator goes distal, thereby stopping bleeding by tamponade with bronchoscope, and evacuates blood and other secretions. With ventilation secure, he may proceed to coagulation. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 6 Bronchial hemorrhage: using suction tubes to keep field clear, operator coagulates. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions

FIGURE 7 Hemostasis technique: circumferential coagulation terminating directly on bleeding area. CHEST 1984 86, 163-168DOI: (10.1378/chest.86.2.163) Copyright © 1984 The American College of Chest Physicians Terms and Conditions