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Manipal Hospitals, Mukundapur, Kolkata is the leading hospital for flexible bronchoscopy in India. The process of bronchoscopy involves utilising a narrow, lighted tube (bronchoscope) to view directly into the lungs' airways. The bronchoscope is inserted through the mouth or nose. It travels into the airways via the trachea, the windpipe that descends the neck. At that point, the trachea, big and medium-sized airways, and voice box (larynx) are visible to a medical professional.
A flexible bronchoscope is commonly used due to its ability to navigate into the smaller airways (bronchioles). Its uses include:
Our team of expert pulmonologists, radiologists, nursing staff and other support personnel are highly skilled in performing flexible bronchoscopies to deliver the best clinical outcomes.
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Bronchoscopy is required for:
Identification of a lung issue
Determination of a lung infection
Tissue biopsy from the lungs
Removal of a tumour, foreign object, or other blockage in the lungs or airways, such as mucus
Insertion of a tiny tube (a stent) to maintain an open airway
Interventional bronchoscopy is used to treat lung conditions such as haemorrhage, abnormal airway constriction (stricture), and collapsed lung disease (pneumothorax).
During a flexible bronchoscopy, the patient typically lies on their back. To ensure comfort, sedative medication or a local anaesthetic may be administered. These medications help to relax the patient and numb the back of the throat.
A medical professional will then insert the flexible bronchoscope through the mouth or nose, down the windpipe, and into the lungs. The physician can then examine the airways, collect biopsy samples, take pictures, and perform any necessary treatments. At the end of the procedure, the doctor will carefully remove the bronchoscope. Typically, the complete procedure takes 45 to 60 minutes.
Flexible bronchoscopy can help diagnose various respiratory conditions, including:
Blockage of the upper airways at the voice box
Obstruction of the lower airways that arises at the intersection of the larynx and small passageways
Partial blockage of the airway that permits some air to flow
Total blockage of the airways, preventing the passage of any air; respiration is impacted
Acute airway blockage caused by foreign objects
Chronic airway blockages that may develop gradually over time or that do not resolve quickly
The procedures and diagnosis that are performed by flexible bronchoscopy are,
Tissue biopsy
Obtaining phlegm
To diagnose lung problems, a fluid called bronchoalveolar lavage, or BAL, is injected into the lungs and subsequently collected
Clearing the airways by removing secretions, blood, mucus plugs, or growths (polyps).
Control of bronchial haemorrhage
Removing obstructions such as foreign objects
For bronchial tumours, Radiation Therapy or Laser Therapy is used
Implantation of a tiny tube, known as a stent, to maintain an open airway
Clearing an abscess or pus-filled region
Every technique has some level of risk. This technique has some risks, which might be:
Mild to moderate bleeding
Virus infection
Airway hole (bronchial perforation)
Bronchospasm, or airway irritation
Vocal cord irritation (laryngospasm)
The air in the pleural space, which lies between the lung coverings, is what collapses the lung (pneumothorax)
A patient may need to fast for around eight hours before a flexible bronchoscopy in order to prepare for the procedure. One should abstain from smoking for twenty-four hours before the surgery. Prior to the surgery, a doctor might need to run blood tests and advise a patient to refrain from taking certain drugs, such as blood thinners.
Yes, flexible bronchoscopy usually requires anaesthesia to ensure comfort. Local anaesthesia numbs the throat and nasal passages, while sedation helps you relax. For children or very anxious patients, general anaesthesia may be used to ensure they are completely asleep and pain-free during the procedure. The type of anaesthesia used depends on your condition and the complexity of the procedure.
You will be under strict observation for a few hours following a bronchoscopy, and you are not permitted to eat or drink anything until the anaesthesia wears off and your gag reflex returns to normal. Following a biopsy, some physicians would take a chest x-ray to look for indications of a pneumothorax. Because of the sedative effects, you must not drive or use heavy machinery when you get home. You need to have a friend or family member accessible to drive you home. You can have a slight sore throat, hoarseness, coughing, or muscular pains after the treatment. Call for help right away if you have shortness of breath, chest discomfort that is becoming worse, or coughing up more than a few clots or tablespoons of blood. Usually, preliminary findings on the appearance of the airway are available.
Your throat could feel a little sore. Gargling with gently salted water or drinking warm liquids can help to soothe the throat. You could cough up a few streaks of blood if tissue samples were collected from you. This shouldn't go past early the next morning. Unless instructed differently, you may continue taking your regular medications. After the exam, please see the doctor to find out if you may continue using blood thinners, aspirin, or medications similar to aspirin. You may go back to eating normally. To avoid nausea, start with a low-fat diet. For a day or two, you can have some discomfort and redness at the IV site. By covering the region with a warm, damp washcloth, you can alleviate discomfort. Please get in touch with your primary care physician if, after a few days, something does not get better.
Although x-rays, CT scans, and suctioning techniques can provide some information about the lungs, bronchoscopy gives the doctor an inside look at the lungs, allowing them to take extremely specific samples, and sometimes even remove blockages. For this reason, a bronchoscopy could still be required even following an X-ray or other test.
Bronchoscopes come in two varieties: flexible and rigid. Straight tubes called rigid bronchoscopes are used to see larger airways, remove huge volumes of secretions, blood, foreign objects, diseased tissue, and execute operations such as stent placement. More often used, a flexible bronchoscope may be lowered into tiny airways, including bronchioles, to carry out procedures like inserting a breathing tube, suctioning secretions, obtaining tissue samples, and giving medication.
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