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Article
August 1953

IMPROVED POSITION FOR BRONCHOSCOPY AND ESOPHAGOSCOPY

Author Affiliations

FORT HOWARD, MD.
From the Surgical Service, Veterans Administration.

AMA Arch Otolaryngol. 1953;58(2):203. doi:10.1001/archotol.1953.00710040222017
Abstract

In the usual technique for bronchoscopy or esophagoscopy the patient is placed in a recumbent position with the shoulders just beyond the edge of the table. The head is supported by a trained assistant. The muscles of the head and shoulders are relaxed. The head is elevated above the

Fig. 1.—Patient in flat position, showing strained posture of surgeon.

Fig. 2.—Patient in tilted position, showing comfortable posture of surgeon.

The level of the top of the table and then extended at the occipitoatloid and atlantoaxial joints. surgeon sits and is usually in a strained and awkward position (Fig. 1).

A more advantageous position can be achieved by bracing the feet of the patient on a footboard and tilting the operating table to the necessary height (Fig. 2). This position permits easier insertion of the bronchoscope or of the esophagoscope and better examination by the surgeon, who is now in a

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