Bronchoscopy

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Bronchoscopy

  • Rigid bronchoscopy
    • Indications
      • Diagnostic
        • To find out the cause for wheezing, haemoptysis, or unexplained cough persisting for more than 4 weeks.
        • When X-ray chest shows:
          • Atelectasis of a segment, lobe or entire lung
          • Opacity localised to a segment or lobe of lung
          • Obstructive emphysema-to exclude foreign body
        • Hilar or mediastinal shadows
        • Vocal cord palsy.
        • Collection of bronchial secretions for culture and sensitivity tests, acid fast bacilli, fungus, malignant cells.
      • Therapeutic
        • Removal of foreign bodies.
        • Removal of retained secretions or mucus plug in cases of head injuries, chest trauma, thoracic or abdominal surgery, or comatosed patients.
    • Complications
      • Injury to teeth and lips.
      • Haemorrhage from the biopsy site.
      • Hypoxia and cardiac arrest.
      • Laryngeal oedema.
  • Flexible fibre optic bronchoscopy
    • flexiblefibre optic bronchoscopy has replaced rigid bronchoscopy for diagnostic procedures particularly in adults.
    • It provides magnification and better illumination
    • Due to smaller size of scope, it permits examination of subsegmental bronchi.
    • It is also easy to use in patients with neck or jaw abnormalities where rigid bronchoscopy may almost be impossible technically.
    • procedure can be performed under topical anaesthesia
    • very useful for bedside examination of the critically ill patients.
    • The suction/biopsy channel provided in the fibrescope helps to remove secretions, inspissated plugs of mucus or even small foreign bodies.
    • It can also be easily passed through endotracheal tube or the tracheostomy opening.
    • it has limited utili ty in children because of the problems of ventilation



Bronchoscopy Procedure – See inside the lungs!
Segmental anatomy (www.bronchoscopy.nl)
Knowledge of segmental anatomy is essential for the bronchoscopist who wants to accurately describe the location of endobronchial lesions. This film explains the normal segmental anatomy and shows important anatomical landmarks.
Flexible Fiberoptic Bronchoscopy: Normal Anatomy
Normal anatomy at flexible fiberoptic bronchoscopy from the larynx to the segmental bronchi
Bronchoscopy
Local anaethesia (www.bronchoscopy.nl)
The vast majority of flexible bronchoscopies can be performed under local anaesthesia. This film shows how local anaesthesia should be applied prior to a diagnostic bronchoscopy.
Bronchoscopy and Biopsy of Lung Cancer
Bronchoscopy and Biopsy of Lung Cancer
Bronchoscopy Step by step Techniques 2
Learn Bronchoscopy. This lesson covers basic diagnostic procedures such as brushing, biopsy, and conventional transbronchial needle aspiration.
Using a Bronchial Scope for a Bronchoscopy at Christian Hospital in St. Louis, Missouri
Dr. Zweig prepares and performs a bronchoscopy procedure on a patient at Christian Hospital. Dr. Zweig explains as he conducts the procedure with a bronchial scope.
Electromagnetic Navigation Bronchoscopy™ Procedure Video
The role of Electromagnetic Navigation Bronchoscopy™ procedure (ENB™) and how the superDimension™ system aids in the diagnosis of lung cancer. Real procedure shown, supplemented with animation and testimonial, featuring D. Kyle Horgarth, MD, Associate Director of Medicine, Director of Bronchoscopy, University of Chicago.