As someone dealing with a bunch of different and still as yet mostly unexplained medical issues, I've been doing a lot different tests and procedures and have more still to do. Each time I have one scheduled I've been googling them to find out details to help me not freak out (or at least not too much), so when I was asked to post this about a procedure called a bronchoscopy I was happy to, if only to have this information out there so that when jittery people like myself need to know this, it will be available. Fortunately, I'm at least not dealing with lung issues (knock on wood) so this isn't relevant to me, but if any of you are, hopefully this will be helpful for you. Just a note, after the break there is medical information and a picture that might make people queasy; you have been warned. If you're squeamish, you might want to scroll on by instead of clicking to expand this.
You can visit here to learn more about lung diseases and their various types. Whatever the case is, getting told you need to get a bronchoscopy done can be intimidating. You may be scared out of your wits if you hadn’t heard the word before then.
However, the procedure isn’t as scary as the term that describes it. Knowing some basic things about the procedure can help you feel a lot better about it. Hence, in this read, we will be discussing some of the important things you need to know about bronchoscopy.
Let us start by defining what it is…
Definition
Bronchoscopy is a medical operation that allows a healthcare provider to look into and examine their patient’s airways. An instrument known as a bronchoscope is used for this procedure.
The bronchoscope will be inserted into the patient’s mouth or nose and pushed down their throat till it gets to the lung. A camera and light source are often attached to the bronchoscope.
Types
There are two types of bronchoscopy. Let us briefly discuss them below:
1. Flexible Bronchoscopy
This is the most used type of this procedure. For this type, flexible bronchoscopes are used; this tool can typically fit into smaller bronchioles (airways). It’s often used to:
-
Put medication on the lungs
- Remove tissue samples
- Suction secretions
- Insert an oxygen breathing tube inside the bronchioles.
2. Rigid Bronchoscopy
Rigid bronchoscopy is performed with rigid bronchoscopes which are straight tube instruments. Unlike its counterpart, this isn’t used in smaller airways. Rather, it is used for viewing larger airways.
When cameras like body vision cameras are attached to rigid bronchoscopes, they can be used to:
- Control bleeding
- Take out foreign objects
- Take out bad tissues (lesions)
- Remove a large amount of blood or secretions
- Carry out procedures like stents or other treatments
Getting Ready for the Procedure
You would have to give your doctor a list of your medications. Do not think any medication you are currently taking is insignificant. The list should contain everything, from your vitamins to herbs, prescriptions, supplements, and even over-the-counter medicines. This is important because some medications have to be discontinued before bronchoscopy is done.
You will then have to sign a form of consent. Ensure you ask about anything you aren’t sure about and get clear answers.
Risks
Below are some of the potential risks of the procedure:
- Infection
- Bleeding
- Bronchial perforation: the airway can get punctured
- Bronchospasm: the airway may get irritated
- Laryngospasm: your vocal cords may get irritated
- Air may get between the pleural space (lung covering). This may result in pneumothorax (lung collapse)
When Can’t Bronchoscopy Be Done?
- When the patient’s oxygen level is low
- Gagging or severe coughing
- Pulmonary hypertension
- When the trachea is blocked or severely narrow (tracheal stenosis)
Your doctor may order a bronchoscopy to either treat or diagnose the following lung issues:
- Paralysis of the vocal cord
- Spots were noticed on the chest from an X-ray
- Causes of coughs that are persistent
- The reason a patient is coughing out blood
- Infections and inflammation like parasitic or fungal lung infections, pneumonia (visit https://familydoctor.org/condition/pneumonia/ to learn how to prevent pneumonia), tuberculosis (TB), and so on.
- Airway obstruction or blockage
- Bronchial cancer or tumors
- To collect sputum
- Tissue biopsy
- Fluid put in and removed from the lungs (BAL or bronchoalveolar lavage) used to diagnose disorders in the lungs
- Growth (polyps), mucus plugs, blood, or secretion removal to clear blocked airways
- To control bronchi bleeding
- To remove foreign objects and other blockages
- To keep the airway open by inserting a stent (small tube). This operation is known as stent placement.
- Radiation treatment or laser therapy
- Draining abscess
What Next?
After the process, you can go home on that same day. However, contact your doctor if you have the following after the procedure:
- Chest pain
- Trouble breathing
- Swelling or redness of your IV area
- Fever higher than 38°C
In this article, we have discussed some of the important things you need to know about bronchoscopy procedure. Hopefully, you are now more informed on the subject matter than 95 percent of the population.