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©2013 UpToDate ® Print Email Guidelines for the flexible bronchoscope and accessories using argon plasma coagulation* Indication APC pulsed effect 1, monopolar non-contact• APC pulsed effect 2, monopolar non-contact• APC forced, monopolar non-contact• Obstruction Argon plasma coagulation - 15 Watts - 15 Watts - 15 Watts - Gas 0.3-0.8 l/m - Gas 0.3-0.8 l/m - Gas 0.3-0.8 l/m - Slow pulses - Fast pulses - Continuous output - Deeper coagulation - Superficial coagulation - Superficial to deep thermal insult depending on: a) time/length of activation and b) power setting - Active regulation (ie, elastic plasma) - Active regulation (ie, elastic plasma) Hemostasis Argon plasma coagulation - 15 Watts (above) - 15 Watts (above) - 15 watts (above) - Gas 0.3-0.8 l/m - Gas 0.3-0.8 l/m - Gas 0.3-0.8 l/m * This is a synthesis of literature and manufacturer information. • Wattage and Gas Flow is recommended as a starting point. Physicians may adjust parameters based upon tissue effect objectives intraoperatively and anatomic presentation pre- and intraoperatively. Reproduced with permission from: Turner, JF, Wang, KP. Endobronchial laser therapy. Clin Chest Med 1999; 20:107. Copyright ©1999 Elsevier.