ROBERT H. RICHARDSON, M.D.
To the editor: We share the enthusiasm of Smiddy and associates (1) for the diagnostic and therapeutic usefulness of the flexible fiberoptic bronchoscope for routine outpatient or inpatient bronchoscopy. We have, however, abandoned the transnasal route they describe for introducing the instrument.
I first learned to use the fiberoptic bronchoscope when working at the National Cancer Institute Hospital in Tokyo with Dr. Shigeto Ikeda, who originally developed the instrument. The method described below is that used by Dr. Ikeda (2) and, subsequently, by us at the University of Iowa Hospitals.
After spraying the oropharynx with 4% lidocaine, the superior laryngeal
RICHARDSON RH. Endotracheal Tube Bronchoscopy. Ann Intern Med. ;76:512. doi: 10.7326/0003-4819-76-3-512_1
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Published: Ann Intern Med. 1972;76(3):512.
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