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Doctor insights on: Bronchoscopy

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Dr. HARRY OPSIMOS
904 Doctors shared insights

Bronchoscopy (Overview)

Bronchoscopy is a procedure to visually examine inside of the airways (trachea, bronchii). This can be done using a rigid bronchoscope or flexible fiber-optic scope. It can be used to obtain samples such as washings (bal) and biopsies for diagnosis. There are also therapeutic interventions that can be performed.


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Bronchoscopy--any pain form it?

Bronchoscopy--any pain form it?

NO: A bronchoscopy itself should not be painful. Your throat can be a little sore for a day or two afterwards. ...Read more

Dr. HARRY OPSIMOS
904 Doctors shared insights

Bronchoscopy (Overview)

Bronchoscopy is a procedure to visually examine inside of the airways (trachea, bronchii). This can be done using a rigid bronchoscope or flexible fiber-optic scope. It can be used to obtain samples such as washings (bal) and biopsies for diagnosis. There are also therapeutic interventions that can be performed.


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What is done during bronchoscopy?

What is done during bronchoscopy?

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. ...Read more

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Can a bronchoscopy be done easily?

Yes: This is a very common procedure and typically quite safe. If you are at a higher risk for complications, your pulmonologist will discuss it with you. ...Read more

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Can you be awake during bronchoscopy?

Can you be awake during bronchoscopy?

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. ...Read more

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Why would I have to get a bronchoscopy?

Better look: Usually for the doctor to get a better look at your upper or lower airway in order to properly diagnose you. ...Read more

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What should I feel during bronchoscopy?

Not much: Today most bronchoscopies are done with topical anesthesia and under moderate sedation (drugs that make a person very groggy but do not completely knock them out). Frequently there is some coughing but most people tolerate this procedure well and some do not remember the procedure afterward at all - "ready to go doc" after it is over is not an uncommon outcome. ...Read more

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What is the definition or description of: bronchoscopy?

Airway examination: Bronchoscopy is a procedure to visually examine inside of the airways (trachea, bronchii). This can be done using a rigid bronchoscope or flexible fiber-optic scope. It can be used to obtain samples such as washings (bal) and biopsies for diagnosis. There are also therapeutic interventions that can be performed. ...Read more

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What information do I have to bring along to do the bronchoscopy?

What information do I have to bring along to do the bronchoscopy?

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

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How long does it take to get the results back from a bronchoscopy?

Varies: Right after the doctor can tell you what they saw. Results of tests done (cultures, biopsies) can take a few days. ...Read more

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I just had a bronchoscopy done and got the final results. What does this mean?

Results are in: It means that the results are in. And they are final. Contact your doctor for more. ...Read more

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How long could I be out of work after a bronchoscopy and how will I feel afterwards?

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 ...Read more

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How long do I have to stay out of work after a bronchoscopy and how will I feel afterwards?

How long do I have to stay out of work after a bronchoscopy and how will I feel afterwards?

Minimal: Agree with dr. Arenberg. 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). ...Read more

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How long is a reasonable amount of time between bronchoscopies for a child with a trach? How often should s/he have one?

How long is a reasonable amount of time between bronchoscopies for a child with a trach? How often should s/he have one?

Bronchoscopies: Routine bronchoscopy at a defined time for a child with a tracheostomy is not defined. In general, these are performed when the child has an issue raising concern for airway obstruction (such as tracheal granuloma), tracheal bleeding, or in certain times when a severe infection is a concern. In addition, prior to tracheal decannulation, this may be performed. ...Read more

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I have to have a bronchoscopy and just wanted to know more in detail what it is and what are the risk that come with having one?

Bronchoscopy: Is usually a straight forward procedure with minimal sedation to visualize the major airways. A flexible tube with a camera is guided through the mouth and into the trachea. It is then passed down both major bronchi (right and left airways) and each sides major branches. It is used to identify abnormalities, irritation, blockage or infection. Biopsies can be taken and cultures if required. ...Read more

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What are the side effects of a bronchoscopy?

What are the side effects of a bronchoscopy?

Not many: Usually, patients will have a sore throat for a few days. If biopsies are done, there may be some small amounts of blood coughed up for a few days.

There is a chance of puncturing a lung with the biopsies if those are done. This potentially will require a chest tube and a stay in the hospital. There's also the chance of severe bleeding depending on what's done during the procedure. ...Read more

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Bleeding after bronchoscopy, is this normal?

Bleeding after bronchoscopy, is this normal?

Yes: If biopsies were performed, a day or two of coughing up small amounts of blood is completely normal. If not biopsies were done, this isn't normal. Or if it's more than just a small amount, like less than a teaspoon per day. ...Read more

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Why would doctors typically want to do a bronchoscopy?

Why would doctors typically want to do a bronchoscopy?

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. ...Read more

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Do I have to see a specialist to get a bronchoscopy ordered?

Do I have to see a specialist to get a bronchoscopy ordered?

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. ...Read more

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Could a bronchoscopy tell what caused wegener's granulomatosis?

No it cannot: A bronchoscopy is useful for identifying that wegener's is affecting the lungs but it will not tell you the cause. Wegener's is in a class of conditions known as autoimmune. This is where the body does not recognize its own cells as being "self". In turn an immune response causes inflammation in the lungs, eyes and sinuses (the classic locatioins in the body to be affected by wegeners). ...Read more

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What is the main difference between bronchoscopy and endoscopy?

What is the main difference between bronchoscopy and endoscopy?

Lung vs gi tract: Bronchoscopy is the study where they look into your lungs with a bronchoscope. Endocopy, a non-specific term, usually refers to the procedure of looking into your GI tract (stomach, intestines). But, in general, endoscopy is any study that looks inside your body, so a bronchoscopy is a type of an endoscopy... ...Read more

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Going in this week for a bronchoscopy with biopsy. Does this hurt?

No: When we perform flexible bronchoscopy we administer IV sedation and pain medications. We also use local numbing agents to make the procedure more comfortable. Despite taking multiple biopsies, almost all patient report no pain or discomfort. In fact, they do not remember the procedure due to some of the anxiolytics that they receive. Some mild local throat irritation may occur for 24-48 hour. ...Read more

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

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

Yes: Yes, in general the level of sedation is similar for most routine flexible bronchoscopies. A deeper level of sedation may be required for rigid bronchoscopy or more complex procedures. ...Read more

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Can I choke during a bronchoscopy? I am being sedated and scared if I start coughing I will start coughing and choke

Choke & Bronchoscopy: As part of the preparation for bronchoscopy you should not eat for at least 7 hours. The only thing that can get you into trouble is if you vomit up food during the procedure. The physician will spray your throat with local anesthetics so that it will block your reflex to cough/choke. This works well and you should not worry. ...Read more

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Can a bronchoscopy be used to look for cancer?

Can a bronchoscopy be used to look for cancer?

Yes: This is very often why a bronchoscopy is done. It can be used to directly visualize the airways. It can also be used to perform biopsies of either visualized areas of the lung and airways or areas more peripheral. There is also endobronchial ultrasound and electromagnetic navigational bronchscopy now available. ...Read more

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When's a thoracentesis and bronchoscopy performed?

See below: Thoracentesis is when fluid is removed from the space between your lung and the chest wall with a needle - usually done to relieve pressure, or send a culture.
Bronchoscopy is done to look inside your airways with a camera (bronchoscope). It is done for numerous reasons: clean up secretions, look at anatomy, investigate tumors, obtain biopsies, and others. ...Read more

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When is a thoracentesis and bronchoscopy usually performed?

Procedures: Thoracentesis is done to draw out fluid if there is accumulation of fluid between the lining of the lung and the chest wall. Bronchoscopy is done to look inside the airways in the lungs as in looking for tumor, bleeding, diagnose infections and sometimes in treatment as in bronchoplasty and stent placement. ...Read more

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I'm getting a bronchoscopy on tuesday. Do I have to get an iv, or get my blood drawn?

I'm getting a bronchoscopy on tuesday. Do I have to get an iv, or get my blood drawn?

Likely yes and yes.: It depends on your age, past medical history, current medications, and what type of bronchoscopy will be performed. In most cases, we do check basic blood work including kidney function and coagulation studies. In terms of an iv, it is also dependent on where you have it done. In our center, we always place an IV for sedative medications and possible needs during the bronch. ...Read more

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Going in this week for a bronchoscopy with biopsy. Does this sound bad for prognosis?

Going in this week for a bronchoscopy with biopsy. Does this sound bad for prognosis?

No: Bronchoscopy is one of the main procedures performed to obtain tissue or fluid to help with diagnosis. Other procedures include ct guided biopsy as well as close radiologic follow up of ct or cxr abnormalities. The fact that you are undergoing bronchoscopy does not in itself suggest anything other than a need to obtain tissue to help your doctor with the diagnosis. ...Read more

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I'm getting a bronchoscopy in 1 wk. Do I have to get an iv, or get my blood drawn beforehand?

I'm getting a bronchoscopy in 1 wk. Do I have to get an iv, or get my blood drawn beforehand?

It depends: It depends on your age, past medical history, current medications, and what type of bronchoscopy will be performed. In most cases, we do check basic blood work including kidney function and coagulation studies. In terms of an iv, it is also dependent on where you have it done. In our center, we always place an IV for sedative/pain medications and possible needs during the bronch. ...Read more

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What type of doctor can order a bronchoscopy?

Pulm or Gen Surg: Pulmonologists do the bulk of bronchoscopy; however, most general surgeons have some training in bronchoscopy and should be able to perform one. Most sophisticated bronchoscopic procedures (ebus, transbronchial biopsy, etc) will be performed by a pulmonologist. Any physician can refer someone for an evaluation for bronchoscopy - but only the person doing it can "order" it. ...Read more