Flexible Fiberoptic Bronchoscopy (FFOB)

Question 1

What are the angulation angles and the field of view angles for a 2.7 diameter FFOB?

Answer 1

Angulation angles =130 -180 Field of view = 90°

Question 2

What lubricant spray is used for FFOBs?

Answer 2

Dimethylpolysiloxane

Question 3

What are the components of an FFOB?

Answer 3

Light source angulation control injection and suction ports Instrument ports Suction attachment

Question 4

What should you always do when you’re setting up the F FOB

Answer 4

You should wear gloves never use bare hands

Question 5

How should you clear the channel when cleaning Up the FFOB

Answer 5

Clear the channel With Saline suctioning

Question 6

What three directional movements are possible with the FFOB?

Answer 6

1) Longitudinal movement along the long axis allows you to enter and leave the airway 2) Rotational movement around the long axis permits you to move through approximately 180° either clockwise or counterclockwise 3) Angulation movement using the angulation control provides flexion and extension of the tip from 90°- 180° in opposite Directions

Question 7

If the FFOB has an outside diameter of 2.8 mm what field of view, in degrees, will it allow?

Answer 7

120°

Question 8

What type of breathing circuit connections are available with an FFOB

Answer 8

Mask LMA ETT EBT (endobronchial tube)

Question 9

What techniques can be used to create air space for an FFOB

Answer 9

Jaw thrust Pulling the tongue out of the mouth with either section for a gauze

Question 10

What type of catheter can be used with the FFOB as a guide for the ETT into the glottis

Answer 10

Aintree Catheter

Question 11

CDC disinfection guidelines for endoscopes

Answer 11

To prevent the spread of health-care–associated infections, all heat-sensitive endoscopes (e.g., gastrointestinal endoscopes, bronchoscopes, nasopharygoscopes) must be properly cleaned and, at a minimum, subjected to high-level disinfection after each use. High-level disinfection can be expected to destroy all microorganisms, although when high numbers of bacterial spores are present, a few spores might survive

Question 12

According to Dr. Hall’s slides Plan B would include what when attempting the difficult airway

Answer 12

ETT introducer

Question 13

According to Dr. Hall’s slides plan D would include what for the difficult airway

Answer 13

HPOV/retrograde Guide wire assisted intubation