Publish in this journal
Journal Information
Vol. 52. Issue 8.
Pages 435 (August 2016)
Vol. 52. Issue 8.
Pages 435 (August 2016)
Clinical Image
Full text access
A One-Handed Maneuver for Opening the Airway During Flexible Bronchoscopy Under Deep Sedation
Maniobra de apertura de la vía aérea con una mano en broncoscopia flexible con sedación profunda
Pablo Rubinstein-Aguñín
Corresponding author

Corresponding author.
, María Luisa Domenech-Alcocer, Ricardo Leiro-Riera
IDCSalud Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona, Spain
Article information
Full Text
Download PDF
Additional material (1)
Full Text

Current guidelines recommend sedation during fiberoptic bronchoscopy (FB).1 We perform FB under deep sedation with a pulmonologist, a nurse and a nursing auxiliary.

The airway is occasionally obstructed, more frequently in the presence of obesity, SAHS, macroglossia, and retrognathism.

We describe a maneuver for opening the airway, performed by the endoscopist, which allows the bronchoscope to be advanced to the supraglottic level while the airway is being opened: the tube of the bronchoscope is advanced with the left hand, held by the thumb and the index finger, while the other three fingers lift the chin from beneath, in a backward, upward movement. The right hand controls the body of the device. Occasionally, the maneuver is insufficient, and an assistant opens the airway by raising the jaw, but this can be painful for the patient and bring him out of sedation.

The video shows the maneuver, and the view of the glottis during the procedure.

Appendix A
Supplementary data

The following are the supplementary data to this article:


M.M. Wahidi, P. Jain, M. Jantz, P. Lee, B. Mackensen, S. Barbour, et al.
American College of Chest Physicians consensus statement on the use of topical anesthesia, analgesia, and sedation during flexible bronchoscopy in adult patients.
Chest, 140 (2011), pp. 1342-1350

Please cite this article as: Rubinstein-Aguñín P, Domenech-Alcocer ML, Leiro-Riera R. Maniobra de apertura de la vía aérea con una mano en broncoscopia flexible con sedación profunda. Arch Bronconeumol. 2016;52:435.

Copyright © 2015. SEPAR
Archivos de Bronconeumología

Subscribe to our newsletter

Article options
Supplemental materials

Are you a health professional able to prescribe or dispense drugs?