Doctor insights on:
Bronchoscopy Procedure Note
Can respiratory therapists administer conscious sedation for certain respiratory procedures like bronchoscopies?
No: They are not mdGet a more detailed answer ›
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 ...Read more
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
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
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
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
Varies: Right after the doctor can tell you what they saw. Results of tests done (cultures, biopsies) can take a few days. ...Read more
Results are in: It means that the results are in. And they are final. Contact your doctor for more. ...Read more
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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