Advanced Bronchoscopy

State-of-the-art bronchoscopic procedures for comprehensive airway examination, accurate diagnosis, and therapeutic interventions using the latest flexible bronchoscope technology.

30-90 minutes Minimally Invasive Expert Procedure

Understanding Bronchoscopy

Bronchoscopy is a sophisticated diagnostic and therapeutic procedure that allows direct visualization of the airways using a flexible bronchoscope. This advanced endoscopic technique enables examination of the trachea, bronchi, and smaller airways, providing invaluable information for diagnosis and treatment of respiratory conditions.

Advanced Technology

Our clinic utilizes the latest high-definition flexible bronchoscopes with advanced imaging capabilities, ultrasound guidance (EBUS), and fluorescence bronchoscopy options for enhanced diagnostic accuracy and patient safety.

Why Choose Our Bronchoscopy Services?

  • Latest generation flexible bronchoscopes with HD imaging
  • Endobronchial ultrasound (EBUS) capabilities
  • Expert pulmonologist with extensive experience
  • Comprehensive sedation and monitoring protocols
  • Same-day results for cytology and rapid diagnosis
  • Advanced therapeutic interventions available

Types of Bronchoscopy Procedures

Diagnostic Bronchoscopy

Standard Examination: Visual inspection of airways, collection of samples for microbiological and cytological analysis.

Indications: Persistent cough, hemoptysis, abnormal chest imaging, suspected lung cancer

Bronchoscopic Biopsy

Tissue Sampling: Transbronchial lung biopsy, endobronchial biopsy, brush biopsy for histopathological examination.

Applications: Lung cancer diagnosis, interstitial lung disease evaluation, infection diagnosis

Bronchoalveolar Lavage (BAL)

Cellular Analysis: Collection of cells and fluid from alveolar spaces for diagnostic evaluation.

Clinical Use: Pneumonia diagnosis, interstitial lung disease, immune suppression evaluation

Therapeutic Bronchoscopy

Treatment Procedures: Foreign body removal, airway dilation, stent placement, laser therapy.

Advanced Applications: Bronchial thermoplasty for severe asthma, endobronchial valve placement

Endobronchial Ultrasound (EBUS)

Guided Procedures: Real-time ultrasound guidance for lymph node sampling and peripheral lung lesions.

Precision Medicine: Accurate staging of lung cancer, mediastinal lymph node assessment

Complete Bronchoscopy Procedure

1
Pre-Procedure Preparation

Patient Assessment: Complete medical history, coagulation studies, chest X-ray review, informed consent discussion.

Preparation: NPO for 8 hours, IV access established, baseline vital signs, allergy verification

2
Sedation and Monitoring

Conscious Sedation: Combination of midazolam and fentanyl for patient comfort and cooperation.

Monitoring: Continuous pulse oximetry, blood pressure, ECG monitoring throughout procedure

3
Local Anesthesia Application

Topical Anesthesia: Lidocaine spray to oropharynx, vocal cords, and bronchial tree for comfort.

Systematic Application: Progressive anesthesia as bronchoscope advances through airways

4
Bronchoscope Insertion and Examination

Insertion Route: Usually through nose or mouth, gentle advancement through larynx into trachea.

Systematic Inspection: Examination of trachea, main bronchi, segmental and subsegmental bronchi

5
Sample Collection and Procedures

Targeted Sampling: Bronchial washing, brushing, biopsy, or BAL based on clinical indication.

Documentation: Digital photography/video recording of abnormal findings, location mapping

6
Post-Procedure Care

Recovery Monitoring: Observation for 2-4 hours, chest X-ray if indicated, discharge planning.

Instructions: NPO until gag reflex returns, avoid coughing forcefully, follow-up arrangements

Clinical Indications & Contraindications

Primary Indications:

  • Suspected Lung Cancer: Mass lesions, lymphadenopathy
  • Hemoptysis: Blood in sputum investigation
  • Persistent Cough: >8 weeks unexplained cough
  • Abnormal Chest Imaging: Unexplained infiltrates
  • Interstitial Lung Disease: Diffuse parenchymal disease
  • Airway Obstruction: Stridor, suspected foreign body
  • Infection Diagnosis: Immunocompromised patients
  • Therapeutic Interventions: Stent placement, dilation
Absolute Contraindications
  • Severe hypoxemia (PaO2 < 60 mmHg on FiO2 > 0.4)
  • Severe bleeding disorders (INR > 1.5, Platelets < 50,000)
  • Unstable cardiovascular status
  • Patient refusal or inability to cooperate

Safety Profile & Complications

Overall Safety

Bronchoscopy is generally very safe when performed by experienced operators. The overall complication rate is less than 1% for diagnostic procedures and 2-3% for therapeutic interventions.

Potential Complications:

Minor Complications (Common, Temporary)
  • Throat irritation and hoarseness (24-48 hours)
  • Cough and bronchospasm (usually self-limiting)
  • Minimal bleeding from biopsy sites
  • Nausea from sedation medications
Major Complications (Rare, <1%)
  • Pneumothorax (especially with transbronchial biopsy)
  • Significant bleeding requiring intervention
  • Severe bronchospasm or laryngospasm
  • Cardiovascular complications from sedation

Risk Minimization Strategies:

  • Thorough pre-procedure assessment and optimization
  • Appropriate patient selection and contraindication screening
  • Continuous monitoring during and after procedure
  • Emergency equipment and trained staff readily available

Procedure Information

  • Duration: 30-90 minutes
  • Minimally invasive
  • Day procedure (usually)
  • NPO 8 hours before
  • Review medications with doctor
  • Arrange transportation home
  • Bring previous imaging
  • Valid photo ID required

Pre-Procedure Requirements

  • Recent blood work (CBC, PT/INR)
  • Chest X-ray within 30 days
  • ECG if cardiac history
  • Stop anticoagulants as directed
  • No smoking 24 hours prior
  • Arrange escort for discharge

Post-Procedure Care

  • NPO until gag reflex returns
  • Expect blood-tinged sputum
  • No driving for 24 hours
  • Call for fever >101°F
  • Report severe shortness of breath
  • Follow-up in 1-2 weeks

Schedule Bronchoscopy

Ready to schedule your bronchoscopy procedure? Our expert team will guide you through the process.

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Expert Bronchoscopy Services

Advanced airway examination and treatment with state-of-the-art bronchoscopic technology, expert medical care, and comprehensive patient support throughout your diagnostic journey.

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