Print Version

Effective: Summer 2014

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture. (36 hours total per quarter)

Description -
Provides the general principles of Interventional Pulmonology. Disease specific application including diagnostic and therapeutic interventions, techniques and procedures will be introduced.

Course Objectives -
The student will be able to
  1. Understand the general principles of endoscopic imaging
  2. Explain bronchoscopy design for advanced procedures
  3. Identify quality control procedures and general care of the bronchoscope
  4. Contrast moderate and deep sedation techniques
  5. Understand the physiology of fixed airway obstruction
  6. Explain airway imaging equipment
  7. Describe simulation for endoscopy and bronchoscopy training
  8. Understand electromagnetic navigation bronchoscopy
  9. Describe endobronchial ultrasonography(EBUS)
Special Facilities and/or Equipment -
  1. Multimedia classroom
  2. Computer access for ETUDES component

Course Content (Body of knowledge) -
  1. General principles of endoscopic imaging
    1. Rigid bronchoscope
      1. General design of the rigid bronchoscope
      2. Application and use
    2. Flexible fiberoptic bronchoscopy
      1. General design of the fiberoptic flexible bronchoscope
        1. Image system
        2. Mechanical system
        3. The channel or plumbing system
          1. Suction channel port
          2. Instrument channel port
        4. Electrical component
  2. Bronchoscopy design for advanced procedures
    1. Image guided bronchoscopy
    2. Conventional biopsy techniques
  3. Quality control procedures and general care of the bronchoscope
    1. Proper care of the bronchoscope
    2. Pre-procedure care
    3. Intra-procedure care
    4. Post-procedure care
    5. Reprocessing of bronchoscopes and autoclaving
    6. Equipment damage and considerations
  4. Moderate and deep sedation techniques
    1. Analgesia
    2. Minimal sedation
    3. Moderate sedation
    4. Deep sedation
    5. General anesthesia
    6. Mallampati classifications
      1. Class I
      2. Class II
      3. Class III
      4. Class IV
    7. Comorbidity assessments
      1. ASA physical status
    8. Equipment and monitors
    9. Post-procedure recovery
    10. Pharmacology
  5. Physiology of fixed airway obstruction
    1. Spirometry
    2. Diagnosis
  6. Airway imaging
    1. Autofluorescence imaging (AFI)
    2. Narrow band imaging (NBI)
    3. Confocal microscopy
  7. Simulation for endoscopy and bronchoscopy training
    1. Simulation in bronchoscopy education
    2. Lo-fidelity simulation
    3. Hi-fidelity simulation
    4. Simulation for advanced procedures
  8. Electromagnetic navigation bronchoscopy (ENB)
    1. Clinical application of ENB
  9. Endobronchial ultrasonography(EBUS)
    1. Endobronchial ultrasonography-Transbronchial needle aspiration (EBUS-TBNA)
    2. Convex probe endobronchial ultrasound CP-EBUS
    3. Esophageal ultrasound guided fine needle aspiration (EUS-FNA)
Methods of Evaluation -
Methods of evaluation may include, but are not limited to quizzes, midterm, and a comprehensive final examination for knowledge of subject matter.
Representative Text(s) -
Ernst & Herth, Principles and Practice of Interventional Pulmonology. New York, Springer Publishing, 2013. ISBN: 9781461442912

Disciplines -
Respiratory Technologies
Method of Instruction -
Methods of instruction may include, but are not limited to lecture, discussion, online modules and tutorials.
Lab Content -
Not applicable.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Types of required reading and writing may include, but are not limited to weekly reading from the textbook, cooperative learning exercises and online content.