can you be awake during bronchoscopy?

Question

Are you as anesthesiesed during a bronchoscopy like you are for a endoscopy?

Answer 1

Yes: For most bronchoscopies we use "conscious sedation"; this means that you are comfortable for the procedure but not usually put to sleep/asleep. The procedure should not be painful and should be comfortable. You may have coughing during the procedure.

Answer 2

Kids-no: In pediatrics bronchoscopies are done with deep sedation and the child is asleep, but breathing on their own.

Answer 3

Yes: I have seen 2 awake bronchoscopies. Both were on patients that were so hypoxic, if they were put to sleep, they would have likely ended up on the ventilator. Both patients did fine. Also, I talked to an attending once that had a bronch done while completely awake just so they could go to work when it was done.

Answer 4

Not usually: Because conscious sedation (iv medications) are used during the procedure it is done in an outpatient endoscopy suite (usually associated with a hospital); most doctors do not do bronchoscopy in their office for this reason.

Answer 5

Adding...: ...To what dr. Milstone said, which is generally true, because the requirements for conscious sedation make it difficult. That said, there are doctors offices where bronchoscopy can be done. The fact that it most often is not done, does not mean it cannot or should not be done in an office setting. I work in an clinic where we have an ma and nurse that oversee conscious sedation when needed.

Answer 6

Yes: Although it's not common - yet.

Answer 7

None: When conscious sedation is used for. Bronchoscopy you should be able to return to normal activities the same day. You should not miss any work other than the day of the procedure.

Answer 8

Depends: Depends on what is actually performed. For most flexible bronchoscopies with or without biopsies you should be able to return to work the next day. Some degree of sore throat is possible. Overall most patients recover very quickly from a bronchoscopy and usually don't even remember the actual procedure.

Answer 9

None: Agree with dr. Milstone. Barring complications, other than the day of procedure, you should not require any additional absence from work. This includes both flexible and rigid bronchoscopy with or without biopsies (endobronchial and flouro guided, ebus guided, em-nav guided transbronchial biopsies).

Answer 10

See below: You would probably just be out of work the day of the procedure. You should be fine to return to work the following day as long as there are no complications during the procedure

Answer 11

Many reasons: To evaluate the anatomy of the bronchioles. Other reasons include rule out infections, evaluate masses and in some cases, sample enlarged lymph nodes. Sometimes, we biopsy bronchiole wall to evaluate for immune disorders.

Answer 12

Diagnosis/Therapy: Bronchoscopy is one of the main procedures performed by pulmonologists to help in the diagnosis of lung disease. Inspection of the airways is performed. Sometimes fluid or tissue is obtained for further analysis. Bronchoscopy can also be used for treatment of lung cancer, narrowing of the airways, and other lung problems.

Answer 13

Better view: To getter a direct view of your upper and lower airway. They get also a chance to get some liquid for cultures and possibly, if indicated, a biopsy.

Answer 14

Depends: on why it's done. If it's to clean out a mucous plug, then usually just suctioning. If it's done to look for infection, then maybe a bronchioalveolar lavage (BAL) and potentially biopsy. If its done looking for cancer, then biopsies and BAL. Brushes are also commonly done to get the lung tissue cells to be looked at for cancer. ultrasound can also be done.

Answer 15

Bronch: Cxr ct and blood work blood pressure medication as usual, do not stop your md has to know about plavix (clopidogrel).

Answer 16

Routine stuff...: You need to bring your medical insurance cards, your medication list, emergency contact information and some will ask for a photo id if you have one. You will need a ride home after the procedure due to the meds they will give you. Nothing to eat/drink after midnight the night before your test. Good luck!

Answer 17

Records, imaging: If you have had a ct of your chest and/or pulmonary function tests (or labs) those are useful, if you have seen another physician prior to your referral, bring her/his notes. Otherwise, the pulmonologist doing the bronchoscopy will order whatever he or she needs prior to the test. Remember not to eat 6 hours prior to the procedure, as you don't want to vomit into your lungs.

Answer 18

History: Your medical history, any and all allergies that you may have, any medications that you take or have recently taken, any recent illness and symptoms.

Answer 19

Yes: A bronchoscopy is a specialized procedure performed by a trained specialist, usually a pulmonologist to visualize & inspect the major airways and take samples of fluids, biopsies as neccesary, etc. Procedure also to localize lesions, obstructions, nodes among other indications.

Answer 20

Pulmonologist or ENT: Most often this procedure is done by adult or pediatric pulmonologists. Ear nose and throat doctors (ENT) also perform bronchoscopies (often by a slightly different method) and occasionally surgeons can do them.

Answer 21

Yes: Bronchoscopy is not really "ordered". You will be referred for consultation by a specialist; thoracic surgeon, pulmonologist, or otolaryngologistst (ent). The specialist will discuss with you why they advise a bronchoscopy, what he/she is looking for, and what you can expect (risk/benefits) of the procedure.

can you be awake during bronchoscopy?

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