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BTS GUIDELINES 2013 FOR DIAGNOSTIC FLEXIBLE BRONCHOSCOPY IN ADULTS JOURNAL CLUB Dr. FIROZ A HAKKIM Dept of CHEST MEDICINE

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BTS GUIDELINES 2013 FOR DIAGNOSTIC FLEXIBLE BRONCHOSCOPY IN ADULTS

BTS GUIDELINES 2013 FOR DIAGNOSTIC FLEXIBLE BRONCHOSCOPY IN ADULTSJOURNAL CLUBDr. FIROZ A HAKKIMDept of CHEST MEDICINE

Lower airways

Upper airwaysRespiratory SystemThe respiratory system consists of the airways, the lungs, and the respiratory muscles that mediate the movement of air into and out of the body.

NasopharynxMouthTrachea

RhinopharynxOropharynxLaryngopharynxVocal cordsTracheaEsophagus

Pharynx

Epiglottis

Larynx

Upper airway: Pharynx & Larynx

Root of tongue

LiverStomachRib cageHeartLung

L/R Main bronchus

Lower airway

Trachea

TracheaMain BronchusRight LungLeft LungBronchus

Lower airway: Trachea, bronchi and lung:

Left Superior lobeLeft Inferior lobeRight Superior lobeRight Inferior lobeMiddle lobeC-shaped cartilage

(Length: 10-12 cm, Diameter: ~2cm)

5

Bronchial Nomenclature:

Left main bronchusLeft Supperior lobar BronchusLeft Inferior lobar bronchusMiddle lobar bronchusTracheaRight main bronchus

Right Superior lobar bronchusRight Inferior lobar bronchus

B1B3B2

6

Carina

Primary bronchi (Main bronchi)each lung

Secondary bronchi (Lobar bronchi) each lobe

Tertiary bronchi (Segmental bronchi) bronchopulmonary segment

Subsegmental bronchi (4th level)5th level..8th-12th level

Terminal bronchiolesRespiratory bronchioleAlveoli

B1B1aB1aiB1aiB1b..B1aii..B1ai..

PRINCIPLE

GUIDELINE - RECOMMENDATIONS

FLEXIBLE BRONCHOSCOPY

THANK YOU