Lower airway anesthesia for fiberoptic bronchoscopy can be ...

[JMatthes]

Lower airway anesthesia for fiberoptic bronchoscopy can be achieved via which of the following routes of administration?
 
  1. Bronchoscopic instillation
  2. Intravenous administration
  3. Nebulization (aerosol delivery)
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3

Question 2

To avoid the risk of aspiration after a fiberoptic bronchoscopy procedure, what would you rec-ommend that the patient do?
 
  a. Be placed in the supine Trendelenburg po-sition for 2 hr.
  b. Remain in a sitting position and NPO until sensation returns.
  c. Receive additional aerosolized lidocaine by nebulizer.
  d. Be continuously monitored for oxygena-tion through pulse oximetry.

[adammoses97]

Answer to Question 1

ANS: B
Lidocaine is commonly delivered by an atomizer to the nose, by mouthwash to the oropharynx, and by nebulizer and/or instillation through the bronchoscope to the lower airways.

Answer to Question 2

ANS: B
The risk of aspiration persists as long as the airway is anesthetized. Therefore, patients should remain in a sitting position and refrain from eating or drinking until sensation returns.

[JMatthes]

Excellent

[samiel-sayed]

TYSM