Academic Catalog


Foothill College Course Outline of Record

Foothill College Course Outline of Record
Heading Value
Effective Term: Summer 2024
Units: 5
Hours: 5 lecture per week (60 total per quarter)
Degree & Credit Status: Degree-Applicable Credit Course
Foothill GE: Non-GE
Transferable: CSU
Grade Type: Letter Grade Only
Repeatability: Not Repeatable

Student Learning Outcomes

  • The student will be able to identify and describe various advanced bronchoscopy and interventional pulmonology procedures.
  • The student will be able to define general principles of diagnostic and therapeutic procedures.


Basic and advanced interventional pulmonology procedures. Procedures to be covered will include bronchoscopy, thoracoscopy, endoscopy, airway access procedures, and novel techniques. Intended for students in the Respiratory Care Baccalaureate Degree Program; enrollment is limited to students accepted in the program.

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. Describe diagnostic interventional pulmonology procedures
  5. Describe therapeutic interventional pulmonology procedures
  6. Explain thoracoscopy procedures
  7. Describe airway access techniques
  8. Describe other endoscopy and novel techniques

Course Content

  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. Diagnostic procedures
    1. Laryngoscopy
      1. Indications for direct laryngoscopy
    2. Diagnosis of vocal cord function and voice disorders
    3. Biopsy techniques
    4. Bronchoalveolar lavage
    5. Endobronchial ultrasound
    6. Esophageal ultrasound
    7. EBUS-guided biopsies
    8. Autofluorescence and imaging techniques
    9. Optical coherence tomography
    10. Image-guided bronchoscopy
      1. Virtual bronchoscopic navigation
  5. Therapeutic procedures
    1. Therapeutic bronchoscopy for airway obstruction
      1. Foreign body removal
    2. Airway stents
      1. Metallic stents
      2. Tube stents
      3. Hybrid stents
    3. Electrosurgery
    4. Cryotherapy and cryodebridement
    5. Microdebriders
    6. Laser bronchoscopy
    7. Brachytherapy
    8. Photodynamic therapy
    9. Balloon dilation techniques
    10. Radiation therapy
      1. Fiducial placement
    11. Thermoplasty for severe asthma
    12. Management of subglottic stenosis
    13. Treatment and management of fistulas
    14. Role of bronchoscopy in the management of hemoptysis
    15. Lung volume reduction surgery
      1. Bronchoscopic lung volume reduction
      2. Surgical lung volume reduction
    16. Ablation treatment
    17. Endoscopic lung abscess drainage
    18. Airway reconstructive surgery
    19. Management of post-transplant disorders
  6. Thoracoscopy procedures
    1. Thoracentesis
    2. Chest tube placement
    3. Drain placement
    4. Thoracoscopy and pleuroscopy procedures
    5. Pleurodesis
    6. VATS surgical procedures
    7. Management of empyema and pleural effusions
  7. Airway access techniques
    1. Percutaneous tracheostomy
    2. Cricothyroidotomy
    3. Transtracheal oxygen catheter placement
  8. Novel procedures
    1. Natural orifice transluminal endoscopic surgery (NOTES)
    2. Percutaneous endoscopic gastrostomy (PEG) tube placement
    3. Whole lung lavage

Lab Content

Not applicable.

Special Facilities and/or Equipment

This course is taught fully online. Students need access to a computer with internet.

Method(s) of Evaluation

Methods of Evaluation may include but are not limited to the following:

Weekly assignments
Weekly participation in discussion forums
Group projects

Method(s) of Instruction

Methods of Instruction may include but are not limited to the following:

Instructor-led weekly discussion board forums
Instructor-led group projects

Representative Text(s) and Other Materials

Ernst and Herth. Principles and Practice of Interventional Pulmonology. 2013.

Despite being older than five years, this is a seminal textbook in this field of study.

Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments

  1. Weekly reading from the textbook
  2. Cooperative learning exercises
  3. Online content


Respiratory Technologies