BTS GUIDELINES 2013 FOR DIAGNOSTIC FLEXIBLE BRONCHOSCOPY IN ADULTS

JOURNAL CLUBDr. FIROZ A HAKKIM

Dept of CHEST MEDICINE

Lower airways

Upper airways

Respiratory System

The respiratory system consists of the airways, the lungs, and the respiratory muscles that mediate the movement of air into and out of the body.

Nasopharynx

Mouth

Trachea

Rhinopharynx

Oropharynx

Laryngopharynx

Vocal cords

Trachea

Esophagus

Pharynx

Epiglottis

Larynx

Upper airway: Pharynx & Larynx

Root of tongue

Liver

Stomach

Rib cage HeartLung

L/R Main bronchus

Lower airwayTrachea

Trachea

Main Bronchus

Right Lung

Left LungBronchus

Lower airway: Trachea, bronchi and lung:

Left Superior lobe

Left Inferior lobe

Right Superior lobe

Right Inferior lobe

Middle lobe

C-shaped cartilage

(Length: 10-12 cm, Diameter: ~2cm)

Bronchial Nomenclature:Left main bronchus

Left Supperior lobar Bronchus

Left Inferior lobar bronchus

Middle lobar bronchus

Trachea

Right main bronchus

Right Superior lobar bronchus

Right Inferior lobar bronchus

B1

B3 B2

Carina

Primary bronchi (Main bronchi)each lung

Secondary bronchi (Lobar bronchi) each lobe

Tertiary bronchi (Segmental bronchi) bronchopulmonary segment

Subsegmental bronchi (4th level)5th level…..8th-12th level

Terminal bronchiolesRespiratory bronchioleAlveoli

B1

B1a

B1ai

B1aiα

B1b..

B1aii..

B1aiβ..

PRINCIPLE

GUIDELINE - RECOMMENDATIONS

FLEXIBLE BRONCHOSCOPY

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