Bronchoscopy

Our providers have the knowledge, training, and privileges to perform many in-hospital procedures. Bronchoscopy is the #1 procedure our team performs. If you experience any of the following, a bronchoscopy may be indicated:

  • If it is suspected that you have a serious lung infection, or if you have a recurrent lung infection, a bronchoscopy may be performed to get better samples from a specific area of the lung.
  • An abnormal finding (“spot”) in the lung viewed on an x-ray or CT scan may be caused by an infection, cancer, or inflammation. Bronchoscopy is done in some cases to take samples from the area.
  • Atelectasis is caused when the airway to a lung or part of a lung is blocked and air cannot get through. The air sacs do not expand, which can be seen on chest x-ray. This blockage is usually caused by something such as a peanut, a tumor, or thick mucus in the airway passage. Bronchoscopy allows the doctor to see the blockage and try to sample and/or remove the substance. This helps to open up the airway and lung, especially when lesser invasive treatments (like chest airway clearance) have failed.
  • When a person has coughed up blood, bronchoscopy may help find the cause of the bleeding. For example, if a tumor is causing the bleeding, the doctor will locate the tumor and take samples of tissue (biopsies) through the bronchoscope. The samples are then looked at in the lab to identify the type of tumor.
  • A person can have noisy or abnormal breathing sounds that may be caused by a problem with the throat or airways of the lung. There may be shortness of breath, noisy breathing, or labored breathing during sleep. Bronchoscopy allows the doctor to look directly at the throat, vocal cord area, windpipe, and major airways to identify any problems. Causes of this type of breathing may include vocal cord paralysis or weakness, floppiness in the airways (bronchomalacia) or voice box (laryngomalacia), or a blood vessel pressing on the outside of the airway (vascular compression).
  • People who have had lung transplant will have bronchoscopy to check on how well the lungs are doing. Samples will be taken of tissue and airway mucus to check for infection or signs of rejection in the new lungs.

Source: American Thoracic Society

Bronchoscopy

What is a bronchoscopy?

Bronchoscopy (say “bron-KOSS-koh-pee”) is a type of procedure. Your doctor uses a flexible tube to look at your airway. This tube is called a bronchoscope. It lets your doctor see your throat, voice box (larynx), windpipe (trachea), and bronchial tubes.

There are many reasons to have this procedure. Your doctor may look for problems with your airway. Or he or she may remove an object or growth. Your doctor could also take a sample of tissue to study. This is called a biopsy.

You will probably be awake for the procedure. But you will get medicine so you will not have pain. The doctor puts the bronchoscope into your mouth or nose and down your throat.

Most people go home the same day. You will probably be able to go back to work or your normal routine in 1 or 2 days.

Source: Healthwise

Electromagnetic Navigation Bronchoscopy (ENB)

Photo courtesy of Veran Medical Technologies

What is an electromagnetic navigation bronchoscopy?

Electromagnetic navigation bronchoscopy (ENB) is a minimally invasive procedure used to biopsy pulmonary nodules. Your physican collects a small sample from the nodule for testing. ENB typically lasts 30–45 minutes. You’ll be sedated during the procedure.

Electromagnetic sensors provide a clear line of sight to the nodule. A 3D map is generated based on exhalation, so your physician can track nodules that move when you breathe. Your physician can switch from an endobronchial (airways) to a percutaneous (chest cavity) approach in the same procedure, so you don’t have to delay results or schedule another visit.

Source: Veran Medical Technologies

EBUS (Endobronchial Ultrasound) Bronchoscopy

Photo courtesy of American College of Physicians

What is an EBUS bronchoscopy?

EBUS (endobronchial ultrasound) bronchoscopy is a procedure used to diagnose different types of lung disorders, including inflammation, infections, or cancer. Performed by a pulmonologist, EBUS bronchoscopy uses a flexible tube that goes through your mouth and into your windpipe and lungs. Similar to, though smaller than, the device used during a colonoscopy, the EBUS scope has a video camera with an ultrasound probe attached to create a local images of your lungs and nearby lymph nodes in order to accurately locate and evaluate areas seen on x-rays or scans that need a closer look.

Using the camera and the ultrasound, your doctor will examine and collect samples from your lung, which are usually taken with a small needle. You may experience a mild cough and a sore throat, but both will usually go away a day later.

EBUS bronchoscopy is an outpatient procedure, and you will generally be allowed to go home after a brief observation period. You will be asked to have someone drive you home from the procedure.

Source: American College of Chest Physicians

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