Orrginal Article: PDF OnlyAn Ultrathin Flexible Bronchoscope with an External Channel for Bronchoscopy in Intubated InfantsHasegawa, Seiki M.D.; Inomata, Yukihiro M.D.*; Murakawa, Masahiro M.D.; Arai, Toshiyuki M.D.; Tanaka, Koichi M.D.*; Mori, Kenjiro M.D., F.R.C.A.Author Information Department of Emergency and Critical Care Medicine and Second Department of Surgery, Kyoto University Hospital, Kyoto, Japan Journal of Bronchology: October 1995 - Volume 2 - Issue 4 - p 290-292 Free Abstract For bronchoscopic procedures in intubated infants, an external channel was attached to an ultrathin flexible bronchoscope without a built-in channel. This modified bronchoscope can be passed through a tracheal tube of 3.5-mm internal diameter and retains adequate flexibility. Thirty-seven bronchoscopic procedures including bronchial suctioning, bronchoalveolar lavage, and drug injection were performed for nine intubated infants; indications for bronchoscopy were bronchial bleeding (n = 4), tracheobronchomalacia (n = 4), pneumonia (n = 4), and atelectasis (n = 2). Bronchoscopic suctioning, which was safely performed under simultaneous ventilatory assist, significantly contributed to airway cleaning. In two cases with atelectasis, full reexpansion of the collapsed lobe was achieved immediately after bronchial toilet. In all four cases with pneumonia, specific pathogens were detected from bronchoalveolar lavage fluid. No complications were noted. We concluded that this modified ultrathin flexible bronchoscope is a safe and useful tool for airway management in intubated infants. © Williams & Wilkins 1995. All Rights Reserved.