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Broncoscopic Myths and Legends: The Use of Fiberoptic Bronchoscopy to Guide Percutaneous Tracheostomy

Pancoast, Thomson C. MD; Bowling, Mark R. MD, FCCP; Anciano, Carlos J. MD

doi: 10.1097/CPM.0000000000000179
Clinical Myths & Evidence-Based Medicine

Percutaneous dilatational tracheostomy can be performed blindly on the basis of the identification of landmarks alone or using fiberoptic bronchoscopy or ultrasonography to guide the procedure. There is controversy regarding the use of bronchoscopic guidance for the procedure. We have evaluated the literature to determine the utility of this practice.

Departments of *Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine

Cardiovascular Sciences, Division of Thoracic and Foregut Surgery

Cardiovascular Sciences, Brody School of Medicine, East Carolina University, Greenville, NC

Disclosure: M.R.B.—Consultant for Medtronic, Biodesix, and Genentech Pharmaceuticals. C.J.A.—Consultant for Medtronic. T.C.P. declares that there is no conflict of interest.

Address correspondence to: Mark R. Bowling, MD, FCCP, Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, NC 27834. E-mail: bowlingm@ecu.edu.

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