This is the rigid bronchoscopy assembly guide video for the removal of airway foreign body. Every piece is custom design so they only fit into one place. The light prism is placed just one slide, so it does not block the lumen from the Endoscope. This is required if the bronchoscope is been used with the glass window attached to it. Next is the flexible suction catheter adapter. This just snaps in the place. The adapter allows for small flexible suctions or other instruments to pass the bronchoscope. Endoscope adapter has a locking mechanism to lock it in place. Again. There are many size and shape combinations between bronchoscopes and endoscopes, It is suggested to take some time to test out instrumentation so that you prepare before an emergency occurs. It’s now time to select your ideal optical force and tested through the bronchoscope. The correct choice depends on your foreign body. Sometimes this is unknown, so it’s perfectly fine to have them ready to go at the start of the case. It’s time to make sure that they all work correctly before the patient arrives the room, which is the most important part of the set up. Make sure the scope has good light for this age. Look through the Endoscope with your eye to make sure there are no obstruction to review, and the Endoscope is not broken. Next check the functionality of your optical forces to see if the tips come together. Well, these fragile instruments and tips can easily bend. If they are. They may not be able to grab your foreign body well. Please be sure to connect your telescope with the light cable. This whole assembly can then be passed on the Bronchoscope.
School: Manipal Hospital
Medialization Thyroplasty A continuous endoscopic viewing under General anaesthesia
Medialization thyroplasty is used for the management of vocal fold paralysis. During this procedure, a prosthesis is placed lateral to the inner perichondrium of the thyroid lamina. The structural integrity of the vocal fold is preserved with effective closure of the pre-phonatory gap, the result being vocal efficiency.
In our series of 4 patients in the last 1 year, we tried a new method of anesthesia which enabled us to get a view of vocal cords during the entire surgery and hence helped us in gauging the extent and the level of medialization during the procedure.
This procedure may be advocated in cases where we feel the patient may not cooperate with local anesthesia and a general anesthesia would result in medialisation being done without the view of the endolarynx, resulting in suboptimal results.
Pediatric Tracheostomy
Paediatric Tracheostomy
Position the child with chin extension appropriately
Drape the child as shown in the video
Mark the incision line
Use 15 number blade for skin incision
Remove the excessive subcutaneous fat tissue
Find the median raphe and strap muscles
Retract the strap muscles laterally
Identify the tracheal ring
Create the impression of tube for appropriate size incision
Place the stay sutures as shown in the video
incise the trachea with 11 number blade
Secure the maturation sutures
Insert the tracheostomy tube
Confirm the position and then inflate the cuff
Secure the ties and dressing at the end.