Bronchoscopy in ICU

[donkoski]

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Will a typical ICU-trained anesthesiologist become certified or "credentialable" in bronchoscopy? It would be a very useful skill to have, one that could bolster a resume especially for those headed into private practice.

 

[SexPanther]

Will a typical ICU-trained anesthesiologist become certified or "credentialable" in bronchoscopy? It would be a very useful skill to have, one that could bolster a resume especially for those headed into private practice.

I'm guessing yes. As an intern in our SICU, I did 5 in my month. I assume you could get the #s needed.

 

[Idiopathic]

I dont think there is any certification/credentialing pathway for bronchoscopy, at least not for flexible bronchs (like would be done in the ICU). Surgeons obv use rigid bronchs on occasion which may be a different skill set. AFAIK there is no certification.

 

[VentdependenT]

Will a typical ICU-trained anesthesiologist become certified or "credentialable" in bronchoscopy? It would be a very useful skill to have, one that could bolster a resume especially for those headed into private practice.

Yes if they received appropriate and documented training during their fellowship. You must apply for privilages as an attending, at least at Rush.

 

[Pilot Doc]

You should be adequately trained to bronch through an ETT. The ability to get credentials will generally be depend on the local environment. If the bronch trade is a gravy train for the local pulm guys, they will fight you. If all you want to do is bronch people without insurance, no one will object.

 

[SexPanther]

AFAIK there is no certification.

Tremendous use of abbreviation, well done.

 

[militarymd]

Will a typical ICU-trained anesthesiologist become certified or "credentialable" in bronchoscopy? It would be a very useful skill to have, one that could bolster a resume especially for those headed into private practice.

Depends on what you are performing the "bronchoscopy" for....

Are you wanting to:

- do BAL for quantitative cultures
- BAL for diag cancer
- transtraceheal bx
- lavage
- for other bx
- etc. etc.

You won't be trained enough to do outpatient bronchs that pulm guys do.

 

[Magnus67]

How bout for the 3am, "hey I think this guy just dropped a lung goober (mucus plug)" and want to take a look and suck it out?

Probably requiring less experience than doing Tranbronchial biopsies for lung ca?

 

[militarymd]

How bout for the 3am, "hey I think this guy just dropped a lung goober (mucus plug)" and want to take a look and suck it out?

Probably requiring less experience than doing Tranbronchial biopsies for lung ca?

anyone can do that.

 

[Pilot Doc]

anyone can do that.

Unless the pulm guys turn you into the MEC for exceeding your scope of practice 🙂

But yes, it is not technically challenging.

 

[VentdependenT]

Unless the pulm guys turn you into the MEC for exceeding your scope of practice 🙂

But yes, it is not technically challenging.

If someone's got a goober in a bronchus causing hypoxia you (on-call anesthesia resident ICU skank) are expected to go in there and fish it out.
That pulmonary fellow on call aint gonna come in. The Thoracic fellow will be in house but he'll be pissed if hes getting asked to do a bronch on someone else's patient.

 

[Pilot Doc]

That pulmonary fellow on call aint gonna come in. The Thoracic fellow will be in house but he'll be pissed if hes getting asked to do a bronch on someone else's patient.

I speak of private practice land where he who hold the keys to the bronch cart/cash generating machine holds them jealously.