Bronchoscopy Training / Fellowship Program in Pediatric Pulmonology @Respiratory Foundation of India-ABG made EASY
ABG-Arterial Blood gas analysis is very important in the management of patients particualrly respiratory patients in ICU For this purpose ,the arterial blood is withdrawn by an expert from radial artery If there is any air bubble in the sample it may give false reading of excess oxygen pressure in the artery The syringe should […]
Bronchoscopy Training / Fellowship Program in Pediatric Pulmonology @ Respiratory Foundation of India-Mechanical ventilation
Mechanical ventilation is required when other modes of oxygen delivery fails. Sometimes ,there is catastrophic presentation of patient giving no time to use other mode of oxygen therapy and directly a patient has to be put on mechanical ventilation. The main indication of mechanical ventilation is respiratory failure.Respiratory failure may be due to causes affecting […]
Bronchial Biopsy-Bronchoscopy Training @Respiratory Foundation of India,under Fellowship Program in Pediatric Pulmonology-Chief Faculty-Dr Dev Jha
Bronchial Biopsy is done for diagnosing respiratory diseases ,which has not been diagnosed by other investigations including BAL There are 3 types of Biopsies ,which are taken through Flexible Bronchoscope-1.Bronchial Brushing 2.Endobronchial Biopsy,3.Transbronchial Lung Biopsy-TBLB and,4.TBNA-Transbronchial Needle Aspiration. In case of Bronchial brushing ,minor self limiting bleeding may occur rarely. Minor bleeding which are usually […]
Best Bronchoscopy Training in India / Fellowship Program in Pediatric Pulmonology @ Respiratory Foundation of India- Preparing a child for Bronchoscopy
Once decided to do Bronchoscopy in a child ,the child should be evaluated clinically. Detailed history should be taken with focus on any allergy to drug, previuos use of anesthetic agents for any procedure, history of asthma and allergy in the family,any major illness in the past. Clinical examination should be performed to see any […]
Advance mode of ventilation-HFOV-Bronchoscopy Training/Fellowship program in Pediatric Pulmonology@Respiratory Foundation of India
High Frequency ventilation is required when the conventional ventilation fails to deliver It happens when there is severe ARDS Severe ARDS is defined when the ratio of PaO2 to FiO2-PaO2/FiO2 becomes less than 100 It is also diagnosed when oxygen index is high,30 or more,means very high demand of oxygen In high frequency ventilation,small amount […]
Adenoid Hypertrophy-Fellowship Program in Pediatric Pulmonology with Bronchoscopy @Respiratory Foundation of India,Chief Faculty-Dr Dev Jha
Adenoid Hypertrophy is not uncommon in children The most important for a Pediatrician and Pediatric Pulmonologist is ,when and how to suspect it and how to manage it medically It will sound surpersing that many children suffer from nocturnal Enuresis and Teetth grinding while sleeping ,due Adenoid Hypertrophy Adenoid Hypertrophy is also an important cause […]
Best Bronchoscopy Training in India / Fellowship Program in Pediatric Pulmonology @Respiratory Foundation of India-Sedation for Bronchoscopy-Local Anesthesia
A child should be properly sedated for the procedure of Bronchoscopy.In case of insufficient sedation,there will be excessive cough, excessive pain, excessive laryngospasm and bronchospasm. For conscious sedation ,local anesthetic agent is used. Lidocaine is either applied directly, sprayed or nebulized. 2-5% concentration is used to apply over the nose and larynx, 0.5-1% is used […]
Pulmonary contusion-Respiratory Emergency-Dr.Dev Jha,Respiratory Foundation of India-Bronchoscopy Training under Fellowship Program in Pediatric Pulmonology
Pulmonary contusion is a very serious condition after chest injury specially while travelling in a car at speed of more than 40 miles per hour and fall from more than 20 feet height -suggesting rapid deccelration In a symptomatic patient the first investigation is chest X-Ray,with initial stabilisation of the patient Chest radiograph may show […]
Respiratory Emergency-HAE,Dr Dev Jha,Pediatric Pulmonologist &Intensivist,Alumnus of AIIMS New Delhi-Faculty-Respiratory Foundation of India-Bronchoscopy Training under Fellowship Program in Pediatric Pulmonology
Hereditary Angioedema-HAE is not rare in children It is characterised by appearance of rashes over the boby with swelling of face,tongue,lips uvula and periphery of limbs.Body rashes may not be present everytime It becomes life threatening ,when there is laryngeal swelling. In case of Laryngeal swelling ,it becomes a respiratory emergency needing immediate treatment The […]
Switch off the main power in managing Asthma-Tezepelumab-Dr Dev Jha, Bronchoscopy Training under Fellowship Program in Pediatric Pulmonology @Respiratory Foundation of India
Treating asthma is very difficult and specially when treating the severe Asthma When not controlled on inhalational corticosteroids, daily oral steroids has to be given to control asthma Daily oral steroids may cause, osteoporosis,cataract,glaucoma ,if it is used for a prolonged period of time If patient forgets to take it, asthma becomes uncontrolled According to […]
