Bob Wood

153 statements · 6 topics

Aerodigestive / ENT · guest expert

Featured statements

▶ Ep 4 · 1:44:02
You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look.
quote · Aerodigestive / ENT
▶ Ep 4 · 1:43:53
You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation.
quote · Aerodigestive / ENT
▶ Ep 1 · 1:27:43
When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis.
clinical · CHARGE Syndrome
▶ Ep 9 · 1:14:51
When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing.
clinical · Esophageal Atresia
▶ Ep 1 · 1:26:30
The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily.
clinical · CHARGE Syndrome
▶ Ep 9 · 1:13:30
The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall.
clinical · Esophageal Atresia

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Bob's statements about Aerodigestive / ENT 39 statements

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Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 3 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 3 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 3 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 3 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 3 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 3 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 3 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 3 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 3 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗

TEF Presentations (Extended): Aerodigestive & Esophageal Surgery

▶ Ep 4 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 4 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 4 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 4 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 4 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 4 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 4 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 4 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 4 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 4 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 4 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 4 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 4 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 4 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 4 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 4 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 4 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 4 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 4 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 4 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 4 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 4 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 4 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 4 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 4 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 4 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 4 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 4 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 4 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗
▶ Ep 4 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗
Bob's statements about CHARGE Syndrome 18 statements

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Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 1 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 1 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 1 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 1 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 1 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 1 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 1 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 1 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 1 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 1 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 1 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 1 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 1 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 1 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 1 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 1 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 1 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗
▶ Ep 1 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗
Bob's statements about Esophageal Atresia 24 statements

Open the Esophageal Atresia collection →

Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 6 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 6 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 6 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 6 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 6 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 6 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 6 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 6 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 6 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗

TEF Presentations (Extended): Aerodigestive & Esophageal Surgery

▶ Ep 9 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 9 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 9 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 9 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 9 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 9 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 9 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 9 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 9 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 9 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 9 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 9 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 9 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 9 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 9 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗
Bob's statements about Esophageal Atresia 24 statements

Open the Esophageal Atresia collection →

Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 9 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 9 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 9 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 9 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 9 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 9 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 9 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 9 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 9 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗

TEF Presentations (Extended): Aerodigestive & Esophageal Surgery

▶ Ep 12 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 12 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 12 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 12 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 12 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 12 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 12 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 12 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 12 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 12 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 12 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 12 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 12 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 12 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 12 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗
Bob's statements about Tracheoesophageal Fistula 24 statements

Open the Tracheoesophageal Fistula collection →

Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 4 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 4 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 4 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 4 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 4 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 4 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 4 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 4 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 4 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗

TEF Presentations (Extended): Aerodigestive & Esophageal Surgery

▶ Ep 6 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 6 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 6 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 6 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 6 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 6 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 6 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 6 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 6 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 6 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 6 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 6 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 6 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 6 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 6 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗
Bob's statements about Tracheoesophageal Fistula 24 statements

Open the Tracheoesophageal Fistula collection →

Aerodigestive & Esophageal Surgery - Difficult Tracheal Esophageal Fistula

▶ Ep 4 · 8:05
clinical Lipid-laden macrophages are non-specific markers of aspiration; their recovery depends on the lipid content of aspirated material, the amount aspirated, and time since aspiration. ↗
▶ Ep 4 · 27:54
clinical A 3-French bugbee cautery fits through the 1.2 mm suction channel of a 2.8 mm flexible bronchoscope, allowing precise control and steering of the cautery tip. ↗
▶ Ep 4 · 1:11:14
quote Seek and ye shall find. If you do not look for it, you cannot find it. ↗
▶ Ep 4 · 1:11:14
quote If you do not look for it, you cannot find it. ↗
▶ Ep 4 · 1:11:20
quote WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 4 · 1:26:30
clinical The degree of angulation at the tip of a flexible bronchoscope is much greater in one direction (retroflexion) than the other; rotating the scope 180° (Sabode maneuver) can reveal posterior tracheal pathology more easily. ↗
▶ Ep 4 · 1:26:58
clinical Insufflation with oxygen at 2 L/min through the suction channel of a flexible bronchoscope spreads tissue apart, improves visualization, and does not impair respirations. ↗
▶ Ep 4 · 1:27:43
clinical When examining the cervical trachea and subglottis with a flexible bronchoscope, it is easier to see pathology while slowly withdrawing the scope than while advancing it, due to the need to flex and extend the tip to navigate the glottis. ↗
▶ Ep 4 · 1:56:27
clinical Flexible bronchoscopy cannot reliably diagnose laryngeal clefts; rigid microlaryngoscopy with active probing is mandatory when posterior glottic pathology is suspected. ↗

TEF Presentations (Extended): Aerodigestive & Esophageal Surgery

▶ Ep 6 · 8:57
clinical A bronchoscope can be used retrograde in the esophagus because it fits through smaller openings. ↗
▶ Ep 6 · 15:10
clinical A 3 French bugbee fits through a 2.8 mm flexible bronchoscope with a 1.2 mm suction channel, providing precise control of the tip. ↗
▶ Ep 6 · 17:42
clinical One of the problems with endoscopic TEF cauterization is not being aggressive enough; you need to destroy the mucosa, not just give it a fright. ↗
▶ Ep 6 · 17:46
quote One of the problems we've had is not being aggressive enough with cauterization. ↗
▶ Ep 6 · 18:03
clinical With a flexible bronchoscope, you can insufflate through the suction channel and distend the lumen to get a better view and sweep the inside of the lumen during cauterization. ↗
▶ Ep 6 · 26:10
clinical Patients can tolerate a minute or two of lower oxygen saturation during cautery procedures to maintain safe oxygen levels below 30%. ↗
▶ Ep 6 · 58:30
quote Take a biblical approach, seek and ye shall find. If you do not look for it, you cannot find it. WNL does not mean within normal limits. It means we never look. ↗
▶ Ep 6 · 1:13:30
clinical The retroflexed (upside-down) flexible bronchoscopy technique allows greater angulation at the scope tip in one direction than the opposite, making it useful for examining the posterior tracheal wall. ↗
▶ Ep 6 · 1:14:15
clinical Insufflating with oxygen through the suction channel at about 2 L/min during bronchoscopy spreads tissue apart, does not hurt respirations, and gives a better view. ↗
▶ Ep 6 · 1:14:51
clinical When advancing a flexible bronchoscope through the nose and glottis, it is very easy to miss pathology in the cervical trachea and subglottis; it is easier to see these areas while slowly withdrawing the scope than while advancing. ↗
▶ Ep 6 · 1:43:43
clinical A flexible bronchoscope is not a reliable tool for diagnosing laryngeal clefts; you cannot find them even when you know they are there 95% of the time due to limitations of flexible instrumentation. ↗
▶ Ep 6 · 1:43:53
quote You can't find them even when you know they're there 95% of the time. It's simply a limitation of the flexible instrumentation. ↗
▶ Ep 6 · 1:44:02
quote You've got to use a rigid anytime you suspect anything in the posterior commissure, subglottic space, or cervical trachea, you need to also use a rigid scope and probe, not just look. ↗
▶ Ep 6 · 1:44:02
clinical For anything suspected in the posterior commissure, subglottic space, or cervical trachea, a rigid scope with probing is mandatory, not just visual inspection. ↗
▶ Ep 6 · 1:46:00
clinical Marsupializing tracheal pouches can make tracheomalacia worse symptomatically, though usually it does not and kids do well. ↗