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. 2015 Dec;7(Suppl 4):S380–S388. doi: 10.3978/j.issn.2072-1439.2015.12.55

Table 3. Mehta’s rule of 4: laser with flexible bronchoscopy.

Maximum length of lesion: 4 cm
Duration of lung collapse <4 weeks
Life expectancy >4 weeks
Procedure time <4 hours
FiO2 during laser therapy <40%
Number of pulses between cleaning <40
Total number of repeat laser treatment <4
Laser team: 4 persons
Initial settings
  Noncontact: 40 Watts
  Contact: 4 Watts
  Pulse duration: 0.4 seconds
Distance
  Endotracheal tube to lesion >4 cm
  Fiber tip to lesion: 4 mm
  Flexible bronchoscopy to tip: 4 mm

FiO2, fraction of inspired oxygen.