Bronchography - features of the method and preparation of the patient


1. When appointed?

2. Contraindications

3. How to prepare?

Bronchography - radiographic examination of the bronchi and trachea, which is carried out with the injection of contrast agent.With this diagnostic method can visualize the contour of the tracheobronchial tree, find a cavity, which communicate with the air ways, a detailed examination of bronchial lumen in all departments.

Bronchography carried out on the operating table or dentist's chair.The patient should take a comfortable position and relax as much as possible - this will facilitate the implementation of the procedure.The study was conducted after the treatment of the nasal passage, nasopharynx, trachea and larynx spray topical anesthetic.When combined with bronhografii biopsy and bronchoscopy and general anesthesia may be used in pediatric practice.

After anesthesia the patient through the nose or mouth into the trachea introduced a flexible catheter and advance it to the bronchi.This manipulation is performed

under fluoroscopic guidance.Next, through a catheter into the bronchial tree is injected radiopaque substance, and then make a series of shots.During the diagnostic catheter position changed several times, allowing you to explore the different regions of the lungs.As radiopaque agents used are viscous and oily iodine-containing water-soluble compound.Subject to the rules of catheterization and anesthetic complications were noted.

If the diagnosis is carried out in an outpatient setting, the patient is allowed to return to the normal rhythm of life in a day.

When he appointed?

The following indications bronhografii:

  • Data collection for the endoscopic examination of the bronchi (the identification of pathological formations or anatomical features that could complicate the passage of the bronchoscope).
  • Long term inflammation of the bronchi and lungs.
  • Determining the feasibility of surgery.
  • control after surgery on the lungs.
  • Increasing the number of sputum, coughing up blood, shortness of breath adequately strong and other symptoms of lung lesions (tumors, lung cysts, cavities).
  • Suspected abnormalities and congenital malformations of the tracheobronchial tree and lung.
  • presence of a pathological process in the lung of unknown etiology or decrease the size of the lung, which is detected on chest radiography.


Contraindications to bronhografii purpose are: allergic reactions to iodinated contrast, the acute phase of stroke, drug intolerance to anesthetics, arterial hypertension, a significant narrowing of the larynx and trachea, heart rhythm disorders, abdominal pain,disorders of the central nervous system (epileptic seizures, acute period of craniocerebral trauma and so forth.).In addition, research is contraindicated in patients with recent myocardial infarction, and those who are in a serious condition.

Relative contraindications to perform bronhografii are acute respiratory infections (colds, flu), as well as alcoholism, angina, diabetes, the second half of pregnancy.

How to prepare?

the day of diagnosis of the patient should be carefully observe good oral hygiene.If the examinee wears dentures, it must remove them before bronchography.Also, before the procedure to help.

If the study will take place under local anesthesia, the patient should not eat the food 2 hours before the test (if general anesthesia during abstinence increases).It is also a sedative before the procedure is introduced to suppress the cough reflex and pharyngeal.Next, using a spray performed anesthesia of the mouth, after which the catheter is inserted into the trachea or bronchoscope.

If you plan to general anesthesia, sedation is not required.The patient inhales the drug through a mask and then held intubation.

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