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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.

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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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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.

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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.

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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.

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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.

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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.

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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.

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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).

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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.

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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.

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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

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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).

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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.

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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.

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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.

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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.

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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.

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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.

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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).

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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...

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