Bronchoscopy

Bronchoscopy is a medical procedure that allows a doctor to visually examine the airways of the lungs, including the trachea and bronchi, using a flexible or rigid tube with a camera and light on the end.

Types of Bronchoscopy

  • Rigid Bronchoscopy: This type of bronchoscopy uses a stiff tube to examine the airways. It is often used in emergency situations, such as when an object is lodged in the airway or when there is bleeding in the lungs.
  • Flexible Bronchoscopy: This type of bronchoscopy uses a flexible tube that can be guided through the nose or mouth and into the lungs. It is often used for diagnostic purposes, such as to collect tissue samples or to examine the airways for abnormalities.

Purpose of Bronchoscopy

The purpose of bronchoscopy may include:

  • Diagnosing lung diseases, such as cancer, tuberculosis, or pneumonia
  • Collecting tissue samples (biopsy) for further examination
  • Removing foreign objects or mucus from the airways
  • Treating conditions, such as bleeding in the lungs or narrowing of the airways
  • Placing stents to keep the airways open

Preparation for Bronchoscopy

To prepare for a bronchoscopy, patients may be asked to:

  • Stop eating and drinking for several hours before the procedure
  • Avoid taking certain medications, such as blood thinners or sedatives
  • Remove any dentures or contact lenses
  • Change into a hospital gown

Procedure

The bronchoscopy procedure typically involves the following steps:

  1. The patient is given sedation to help them relax and reduce discomfort.
  2. A local anesthetic is applied to the nose or mouth to numb the area.
  3. The bronchoscope is inserted through the nose or mouth and guided into the lungs.
  4. The doctor examines the airways using the camera and light on the end of the bronchoscope.
  5. Tissue samples may be collected or treatments may be administered as needed.

Risks and Complications

As with any medical procedure, there are risks and complications associated with bronchoscopy, including:

  • Bleeding or infection
  • Pneumothorax (collapsed lung)
  • Damage to the airways or lungs
  • Allergic reactions to medications or anesthesia

After the Procedure

After a bronchoscopy, patients may experience:

  • Sore throat or hoarseness
  • Coughing or wheezing
  • Shortness of breath
  • Fatigue or drowsiness from sedation

Patients are typically monitored for several hours after the procedure and may be given instructions on how to manage any discomfort or side effects.

Results

The results of a bronchoscopy may take several days to several weeks to receive, depending on the type of test or procedure performed. The doctor will discuss the results with the patient and provide recommendations for further treatment or follow-up care as needed.

Article last updated on: 11th April 2025.
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