Bronchoscopy via Mouth

Bronchoscopy via Mouth

Bronchoscopy is often performed for diagnostic purposes (diagnosis of tumor, bleeding, infection, or trauma). The diagnostic procedure of bronchoalveolar lavage is also performed by bronchoscopy. It is also useful in the treatment of airway obstruction by tumors or foreign bodies, for removal of secretions and as an assistive technique in difficult intubation of the trachea.

 

Bronchoscopes Types

There are two types of bronchoscopes: flexible (fiberoptic) and rigid. Flexible bronchoscopy is often performed under local anesthesia with the patient awake. Rigid bronchoscopes may be employed to remove foreign bodies or to place stents. Such procedures are done under general anesthesia.

 

Flexible bronchoscope

Is made up primarily of fiberoptic bundles that carry illuminating light into the bronchus and reflected light back to the lens, which allows direct visualization of the airways. The tip of the bronchoscope can be manipulated with a series of levers. Parallel channels of the bronchoscope can carry irrigating fluid and flexible biopsy forceps and can be used for suctioning at the end of the instrument.

 

Rigid bronchoscope

Is a long, straight metal tube with a light at the tip. The rigid bronchoscope can be used to manipulate the wall of the trachea and bronchi; the large lumen allows suctioning of large particles, but vision is limited. The rigid bronchoscope is used if large particles (such as inhaled food, coins, other objects) must be cleared from the airways. It is also used to help control massive bleeding from the airway, and is generally done in the operating room.

 

Side Effects

* Sore throat

* Sleepiness

* Cough with blood tinged sputum (usually if biopsies are taken)

* Dry mouth

* Cough Some of these conditions may last up to eight hours. If these symptoms do not resolve or increase in severity, the patient is advised to call their physician.

 

Because of the sedation and agents given to reduce sensitivity to your throat, the patient will not be allowed to eat or drink anything for at least 2 hours after the bronchoscopy, and is not to drive, operate equipment or do any activities that requires complete alertness for 24 hours.

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