Andy Neill
Andy Neill

@AndyNeill

7 Tweets 14 reads Apr 06, 2021
Despite a fair amount of time in ICU I still don't think I'm great at bronchoscopy. In fact I suck. I was given a license to drive the thing and like most things I get away with it cause most of what we do with the bronch in ICU is simple enough. Some resources 🧡 1/
This little video on bronchoscopic anatomy has good video useful narration and labels and is short (5mins). Really useful and a good start. youtube.com 2/
There is an online bronch simulator which is unfortunately flash dependant and given adobe's dire warnings not to install it I haven't tried it out thoracic-anesthesia.com 3/
There is an entire youtube channel bu Henri Colt dedicated to bronchoscopy. A lot of it is aimed at resp folk rather than ICU but lots of great stuff in here. 4/ youtube.com
Old faithfuls LITFL and Deranged Physiology also have their own pages that are worth checking out derangedphysiology.com and litfl.com 5/
And while it's behind a paywall the uptodate article is really useful. A big take away for me is that most of my BALs are perhaps better described as "bronchial washings" with 20-40ml rather than the 100-250ml lavage needed to get a decent alveolar sample 6/
I'm sure you smart people already knew this and have lots more tips to share for ICU bronchoscopy for an ignoramus like myself. 7/7

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