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Bronchoscopy is a procedure performed by a pulmonologist to examine the respiratory airways and lungs. It involves using a thin, tube-like instrument called a bronchoscope, which is equipped with a camera and light. This diagnostic method is primarily used to detect lung diseases, infections, and the causes of breathing difficulties. In addition to diagnosis, bronchoscopy is also performed to:
Obtain mucus samples
Remove blockages from the airways
Take biopsies
Drain abscesses
Body Location
The procedure focuses on the airways (trachea and bronchi) and the lungs.
Bronchoscopy can be performed using three types of procedures: flexible, rigid, and endobronchial ultrasound.
Flexible Bronchoscopy: This involves using a bendable bronchoscope that reaches the smaller airways (bronchioles).
Rigid Bronchoscopy: A wide, straight bronchoscope is used to remove blockages, place stents, or collect samples from the airways.
Endobronchial Ultrasound: This combines bronchoscopy with ultrasound imaging to help doctors visualize the airways and surrounding structures.
The procedure begins with the administration of a sedative intravenously to help you relax, although you will remain conscious. In some cases, general anesthesia may be used. A local anesthetic is applied to your throat and nostrils to numb the areas. The bronchoscope is then gently inserted down your throat, reaching your airways and lungs. While this part may feel slightly uncomfortable at first, your body will adjust to it.
The camera at the bronchoscope’s tip allows the doctor to visually examine your lungs and airways. If necessary, the doctor will collect samples or remove blockages. Once the examination is complete, the bronchoscope is carefully removed. The procedure typically takes about 45 minutes.
Minimally invasive
Preparation for Bronchoscopy Here’s what you need to do before the procedure:
Diet: Do not eat or drink anything for at least 8 hours before the procedure.
Medications: You may be advised to avoid certain medications, such as blood thinners (e.g., aspirin) and ibuprofen, for a week prior. Consult your doctor if you take any other medications to determine whether they should be continued.
Clothing and Accessories: Wear the gown provided by the clinic or hospital. Remove any jewelry, eyeglasses, contact lenses, dentures, hearing aids, or other accessories.
Consent Form: Before signing the consent form, ensure you fully understand the procedure and its risks. Ask any questions you may have.
Other Arrangements: Since the effects of the anesthetics may take several hours to wear off, arrange for a friend or family member to drive you home after the procedure.