Monden Y, Nakahara K, Fujii Y, Nanjo S, Ohno K, Kawashima Y
Endoscopy. 1984 Sep;16(5):175-8. doi: 10.1055/s-2007-1018573.
The most important problem during FBS examination in infants is respiratory care. A new ventilation method using the channel of the FBS is proposed for respiratory care during FBS examination in infants. An FBS with a channel of more than 1.2 mm in diameter was directly inserted into the trachea under general anaesthesia without an orotracheal tube. The first step of this ventilation is the flushing of pure O2 into the lung as inspiration through the channel of the FBS. The second step is the aspiration of expiratory gas through the channel by a vacuum pump. Ventilation during the FBS examination is maintained by the repetition of these two steps by the operation of a stop-cock. Experiments in dogs, and clinical use showed that this method of respiratory care is effective and safe with certain limitations. Clinically, inspection with the FBS could be performed continuously for five minutes in most cases.
婴儿纤维支气管镜检查（FBS）过程中最重要的问题是呼吸护理。本文提出一种利用FBS通道进行呼吸护理的新通气方法，用于婴儿FBS检查期间的呼吸护理。在全身麻醉下，将直径大于1.2mm通道的FBS直接插入气管，无需经口气管插管。这种通气的第一步是通过FBS通道将纯氧作为吸气冲入肺内。第二步是用真空泵通过通道抽吸呼出气体。通过旋塞操作重复这两个步骤来维持FBS检查期间的通气。在犬类实验和临床应用表明，这种呼吸护理方法在一定限制条件下是有效且安全的。临床上，在大多数情况下，使用FBS检查可以连续进行五分钟。
