Indications and technique of bronchoscopy

Contents:

1. When appointed?

2. How to prepare?

Bronchoscopy (bronchoscopy) - this study, during which a doctor assesses the state of the mucous layer of the bronchi and trachea using a bronchoscope, or respiratory bronchofiberscope.Modern bronchofiberscope is a complex device consisting of a flexible rod (which is controlled by a bend of the distal end), the control handles and lighting cable.The device is often equipped with a video or digital camera and manipulators to remove foreign bodies and biopsy that requires considerable experience of endoscopist and accuracy.

study carried out in a lying or sitting position (it solves the endoscopist).Specialist bronchofiberscope enters the respiratory tract, it can be done through the nose or through the mouth.During the procedure, the doctor carefully examines the surface of the bronchi, trachea and throat, and, if necessary, make a video or photography and image recording.According to the testimony of medical manipulation and biopsy can be p

erformed.

After bronchoscopy may be a little stuffy nose, numbness, difficulty swallowing saliva, the feeling of "lump" in his throat, all it usually takes an hour.In addition, bronchoscopy may be associated with serious complications, the most dangerous of which are: allergic reactions, bronchospasm, pneumothorax, pneumonia, bronchial wall damage and bleeding after the biopsy.

When he appointed?

main indications for bronchoscopy are:

  • suspected inflammation of the bronchi;
  • suspected tumor in the bronchi;
  • diagnosis of the causes of hemoptysis;
  • inspection narrowed bronchi and curved;
  • extraction of bronchial foreign body;
  • drug administration;
  • biopsy;
  • restoration of patency of the trachea and main bronchi when stenosis or obstruction scars, malignant and benign tumors;
  • search for localization of the lesion in acute lung abscess;
  • differential diagnosis of cancer and decaying bacteria festering in the lung.

How to prepare?

bronchoscopy before the patient is required to undergo X-ray examination of the chest, as well as to provide medical advice of coagulation parameters, determination of blood gases, the urea level in the blood, and electrocardiography.The patient must inform the endoscopist about the presence of allergic reactions to medicines and all diseases.

Procedure preceded by premedication.Patients suffering from bronchial asthma or chronic obstructive bronchitis, for forty minutes before bronchoscopy is administered intramuscularly diphenhydramine, seduksen and atropine.For 15-20 minutes before the start of the study make the intravenous injection of aminophylline solution, and even before the anesthesia given to inhale aerosol (salbutamol oksprenolin) of individual dispenser.Local anesthesia (for pain at the time of the procedure and suppressing the gag reflex) the mucous layer of the oropharynx and nasal cavity is performed by spray anesthetic.

Bronchoscopy is carried out strictly on an empty stomach.On the day of the study, patients are not even allowed to drink water.Medspetsialisty recommend patients to take with a clean towel, because after bronchoscopy may cough up blood.

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