Bronchoscopy: Procedure, Preparation, and Expert Care

Types of Bronchoscopies

Flexible bronchoscopy

Flexible bronchoscopy, also known as standard white light bronchoscopy, is typically performed using conscious sedation. This smaller, more flexible equipment allows access to the lower airways, such as the third order of bronchi, making it more widely used for both diagnostic and therapeutic procedures.

Rigid bronchoscopy

Rigid bronchoscopy also uses a white light source but involves a larger, more rigid piece of equipment that can only access the proximal airways. It requires general anaesthesia and is generally used for interventional procedures that flexible bronchoscopy cannot perform.

When Bronchoscopy Is Recommended

If you are experiencing a chronic cough that refuses to go away or you are coughing up blood, the specialists at Gleneagles Hospitals would recommend a bronchoscopy to better view the interiors of your airway to more accurately evaluate your symptoms.

This type of examination is also recommended when lung infections such as tuberculosis or lung cancers and scarring of the lung are suspected following other diagnosis like X-ray examinations. If any abnormalities are suspected, the bronchoscopy also allows tissue samples to be collected from the inside through a biopsy or bronchoalveolar lavage.

This procedure also offers therapeutic purposes, such as removing fluid or mucus and foreign objects that might have become lodged. A stent can also be used to widen narrowed airways and assist in laser tumour removals.

How to Prepare for Your Bronchoscopy

Preparing for a bronchoscopy involves several steps:

1. Your doctor will review your medical history and conduct a clinical exam to weigh the indications and contraindications specific to your case.
2. Fast (no eating and drinking) for at least six hours before the procedure.
3. Inform your doctor about any medications you are taking.
4. Since you may receive sedatives, arrange for someone to drive you home afterwards.
5. You will need to sign a consent form acknowledging that you understand the procedure and its risks

What to Expect During the Bronchoscopy Procedure

During a bronchoscopy, you will be sedated to ensure comfort. The procedure starts with inserting a bronchoscope through your nose or mouth, then gently guided down your throat into your lungs. The bronchoscope, equipped with a camera and light, allows your doctor to examine the airways. You might feel slight pressure but no pain. The doctor can take tissue samples, remove blockages, or perform other necessary treatments. The procedure typically lasts about 30 to 60 minutes.

Post-Procedure Care and Recovery

After your bronchoscopy, you will be monitored in a recovery area until the effects of the sedation wear off, which usually takes a couple of hours. Here are key points to consider:

1. Take it easy for the rest of the day, and drink plenty of fluids.
2. You may experience a sore throat or hoarseness, which should improve within a day or two.
3. Watch for signs of complications, such as significant chest pain, difficulty breathing, or coughing up large amounts of blood. Contact your doctor if any of these occur.
4. Follow any medication instructions given by your healthcare provider.

Respiratory Medicine Specialists at Gleneagles Hospitals

If you have any respiratory concerns or need a bronchoscopy, consult with a lung specialist at Gleneagles Hospitals. Schedule an appointment today to receive personalised, expert care. Your health is a priority.