Did you know that according to the National Safety Council, airway foreign bodies are the third most common cause of death due to unintentional injury in children younger than one year.
Pediatric rigid bronchoscopy treats patients ranging from neonates to adolescents.
In this chart, you will see the different sizes of bronch tubes and the associated inner outer diameters, as well as lengths.
The most important factor when deciding which bronch tube should be used is the size of the child.
On the proximal end of the bronch tube, you will find the part number, size and length.
This information will assist your surgeon in choosing the correct bronch tube.
Due to these varying lengths of the bronch tubes, different bridges will be required to lock the telescope in place.
For example, we have the 2.5 neonatal bronch tube, the smallest KARL STORZ bronch tube.
With this bronch tube, we use the correct telescope bridge to connect the 1.9 millimeter telescope.
Attach the bridge to the bronch tube so the notch on the distal end of the bridge aligns with the working channel of the bronch tube.
Next line up the zero indicator on the scope to the aligned notches on the locking collar of the telescope bridge.
Once the telescope is inserted, lock the locking collar to secure the telescope.
With the scope securely attached, attach the racing adapter.
Next, attach the prismatic light deflector.
Finally, attach the injection cannula or rubber instrument guide by lining up the zeros.
The Bronch tube has no open ports and is a closed system.
Prior to the start of a case make sure the correct telescope, telescope bridge and forceps are pulled for the correct size bronch tube being used.
This chart shows a quick reference guide in choosing telescopes, telescope bridges and forceps related to the diameters and lengths of the bronch tubes.
There are two types of bronchoscopy forceps: non optical and optical.
The optical forceps are preferred as they allow endoscopic visualization of the tip of the forceps.
Connect the telescope to the optical forceps by lining up the zero of the telescope to the lined up notches on the locking collar.
Turn the locking collar to secure the telescope in the optical forceps.
Until recently, optical forceps could only be used in children with size 3.5 and larger tubes.
Premature neonates could only be treated with non optical forceps.
Now, the miniature optical forceps, along with a 1.3 millimeters semi-rigid telescope, fit the size 2.5 and three bronch tubes.
Now you should have an understanding of the KARL STORZ pediatric rigid bronchoscopy instrumentation.
This guide can aid in connecting the correct telescopes, bridges and adapters for the varying bronk tubes.
We recommend having this chart for your bronchoscopy cases.
If following this video presentation you have any further questions, please contact your local KARL STORZ Representative.
