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.