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Bronchoscopy
Bronchoscopies

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WIKIDATA, CC BY-SA 4.0

Presentation

Other times, respiratory symptoms continue to be present, although no reason can be found. Rigid bronchoscopy is very valuable in helping to diagnose these various respiratory symptoms and problems. [entslc.com]

It usually presents as bilateral multiple nodular lesions. We report a middle-aged woman with a unique presentation of PEH with lung lobar collapse. The diagnosis was made with fibreoptic bronchoscopy rather than video-assisted thoracoscopy. [ncbi.nlm.nih.gov]

Entire Body System

  • Collapse

    Collapse can be persistent but full reinflation of affected lobes can occur after repeated bronchoscopy, even several months after the initial collapse (see figure 1) Figure 1: Right lower lobe collapse that reinflated after four months following several [cfmedicine.com]

    Here, we report an example of successful selective intrabronchial air insufflation in an intubated patient with bilateral lower lobe collapses after surgery for an incarcerated hernia. [ncbi.nlm.nih.gov]

    A rare, but more serious risk is a pneumothorax (noo-mo-THOR-aks), or collapsed lung. In this condition, air collects in the space around the lungs, which causes one or both lungs to collapse. Usually, this problem is easily treated. [healthnavigator.org.nz]

    To aid in the diagnosis of a collapsed trachea or lung 5. To obtain samples for testing and sensitivity when pneumonia is suspected 6. [vcahospitals.com]

  • Fever

    Symptoms that may necessitate a bronchoscopy include shortness of breath, a drop in lung function numbers, a change on a patient's X-ray or unexplained fever. [inova.org]

    A 75-year-old man visited our hospital complaining of a low-grade fever, dry cough, and chest abnormal shadow. Chest computed tomography revealed a nodule with a cavity in the right upper lobe. [ncbi.nlm.nih.gov]

    You may have a slight fever after the bronchoscopy and your doctor may suggest taking acetaminophen (for example Tylenol®) for fever or discomfort. [columbiasurgery.org]

  • Pathologist

    Clinicians and pathologists should be aware of rare conditions that can present as lung lobar collapse. [ncbi.nlm.nih.gov]

    Your pulmonologist will review the biopsy with a pathologist and evaluate all of your symptoms to determine the best course of treatment for you. Biopsy results are usually available the next day. [inova.org]

    Saline fluid may be used to flush the area and to collect cells that may need to be analyzed by a pathologist. The transbronchial biopsy procedure is performed using a tiny forceps passed through a channel of the bronchoscope into your lungs. [uclahealth.org]

    It is done to: look for lung infections, disease or cancer get tissue samples so that a pathologist can look at them under a microscope help stage lung cancer see if a lung tumour can be removed by surgery find out why someone is coughing up blood, and [cancer.ca]

    It may be possible to give you some information immediately after the test but often this has to wait until a follow up appointment to allow time for the samples to be processed and examined by the pathologist. [athenspulmonary.com]

  • Shivering

    Overdose is manifested by CNS symptoms (tremor, shivering, weakness). Use 4% xylocaine for anesthesia above the vocal cords, 1% xylocaine below the vocal cords. [medicine.uiowa.edu]

    [Crossref] [PubMed] Ching JA, Ching YH, Shivers SC, et al. An Analysis of Inhalation Injury Diagnostic Methods and Patient Outcomes. J Burn Care Res 2016;37:e27-32. [Crossref] [PubMed] Tenenbaum T, Kähler G, Janke C, et al. [jtd.amegroups.com]

  • Severe Pain

    You have sudden chest pain and shortness of breath. You cough up large amounts of bright red blood. You have severe pain in your chest. You have severe trouble breathing. [myhealth.alberta.ca]

Respiratoric

  • Cough

    Examples of these include stridor (noisy breathing), chronic cough, hoarseness, asthma with unexpected symptoms (atypical asthma), and suspected foreign body evaluation. [entslc.com]

    After the test, your ability to cough (cough reflex) will return in 1 to 2 hours. You will not be allowed to eat or drink until your cough reflex returns. You may have a bronchoscopy to help your provider diagnose lung problems. [nlm.nih.gov]

    If a biopsy was taken, the patient should not cough or clear the throat as this might dislodge any blood clot that has formed and cause bleeding. [medical-dictionary.thefreedictionary.com]

    The procedure is commonly used to aid the diagnosis of respiratory disease in persons with persistent cough or who are coughing up blood, as well as in persons who have abnormal chest findings following computerized axial tomography scanning or X-ray [britannica.com]

    An 8-year-old girl developed cough, transient throat wheezing, and intermittent cough after she accidentally inhaled a plastic bead 7 hours ago. Chest computed tomography scan revealed a round shadow 1.2 cm in diameter in the right main bronchus. [ncbi.nlm.nih.gov]

  • Pneumonia

    Patients who developed post-bronchoscopy pneumonia needed to change or cancel their planned cancer therapy more frequently than those without pneumonia (56% vs. 6%, p CONCLUSIONS: The incidence of post-bronchoscopy pneumonia in patients with lung cancer [ncbi.nlm.nih.gov]

    To obtain samples for testing and sensitivity when pneumonia is suspected 6. [vcahospitals.com]

    Cancer Lung Disease Mixed Connective Tissue Disease Nonspecific Interstitial Pneumonia (NSIP) Pigeon Breeder’s Disease Pneumonia Pneumoconiosis Polymyositis, Dermatomyositis Pulmonary Alveolar Microlithiasis Pulmonary Eosinophilic Granuloma (EG), Histiocytosis [uabmedicine.org]

  • Hoarseness

    Problems involving the vocal cords result in varying degrees of hoarseness, breathing or speech abnormalities, and laryngoscopy is commonly used to evaluate these symptoms. [entslc.com]

    You still sound hoarse after a few days. You have bubbles under the skin around the collarbone. These may crackle and pop when you press on them. [myhealth.alberta.ca]

    Bronchoscopy itself may cause Minor laryngeal edema or injury with hoarseness Hypoxemia in patients with compromised gas exchange Arrhythmias (most commonly premature atrial contractions, ventricular premature beats, or bradycardia) Transmission of infection [msdmanuals.com]

  • Sore Throat

    What can I do if I have a sore throat after the procedure? Try gargling with salt water or sucking on a cough drop to relieve soreness. A sore throat should improve in a few days. [elcaminohealth.org]

    When you get home Your child may have a sore throat for a few days afterwards, which is normal. [gosh.nhs.uk]

    You may also have a sore throat and a hoarse voice for a few days. Sucking on throat lozenges or gargling with warm salt water may help soothe your sore throat. [myhealth.alberta.ca]

    A sore throat, sore nose, mild headache, fatigue and delayed fever (several hours) can also develop after the procedure. The nurse will recheck your blood pressure, pulse, and respiratory rate prior to your discharge. [psaofhuntsville.com]

    Once the swallowing reflex has returned, salt water gargles and lozenges may be helpful for sore throat. Smoking after having a bronchoscopy is discouraged, as it will increase irritation in respiratory tract. [dana-farber.org]

  • Persistent Cough

    Persistent coughing 2. Study and removal of foreign matter in the trachea and lungs 3. To obtain biopsies from the trachea or major airways 4. To aid in the diagnosis of a collapsed trachea or lung 5. [vcahospitals.com]

    The procedure is commonly used to aid the diagnosis of respiratory disease in persons with persistent cough or who are coughing up blood, as well as in persons who have abnormal chest findings following computerized axial tomography scanning or X-ray [britannica.com]

    Indications Evaluate suspected malignancy, haemoptysis, persistent coughing, biopsy (transbronchial) and cytology (e.g., bronchial washings, specimen culture, remove foreign bodies from upper airways). [medical-dictionary.thefreedictionary.com]

    For example, your doctor might refer you for bronchoscopy because you have a persistent cough or an abnormal chest X-ray. [mayoclinic.org]

Gastrointestinal

  • Nausea

    In contrast, rigid bronchoscopy, because of the discomfort caused by the device, necessitates the use of general anesthesia, which can cause side effects in some people, including nausea and vomiting, upon waking. [britannica.com]

    Call Your Doctor After arriving home, contact your doctor if any of the following occurs: Signs of infection, including fever and chills Cough, shortness of breath, or chest pain Coughing up more than a teaspoon of blood Severe nausea or vomiting Increased [uvahealth.com]

    Lesser, not life-threatening complications, include in declining frequency, vasovagal reactions, fever, cardiac arrhythmias, bleeds, airway obstruction, pneumothorax without need of drain tube, nausea, and vomiting. [hindawi.com]

    Abnormal heart rhythms Breathing difficulties Fever Heart attack, in people with existing heart disease Low blood oxygen Collapsed lung Sore throat Risks when general anesthesia is used include: Muscle pain Change in blood pressure Slower heart rate Nausea [nlm.nih.gov]

    There is also a small risk of: Disordered heart rhythm (arrhythmias) Heart attack Low blood oxygen (hypoxemia) If general anesthesia is used, there is also some risk of: Nausea and vomiting Sore throat Muscle pain Breathing difficulties Depressed heart [uclahealth.org]

Cardiovascular

  • Chest Pain

    Symptoms include: shortness of breath with or without activity, fatigue, dizziness, chest pain/pressure, fast heart rate and swelling. [gundersenhealth.org]

    You develop increasing bleeding with a cough or chest pain. You feel ill or develop any other symptom. [emedicinehealth.com]

    Please inform your physician if you should develop any of the following: shortness of breath, wheezing, bloody sputum, fevers, chest pain. [dana-farber.org]

    Shortness of breath or chest pain. If you have any questions about the test, or about how you feel, call your doctor or the Lung Transplant Program to speak to a nurse coordinator between the hours of 9:15 AM and 5:00 PM. [columbiasurgery.org]

Jaw & Teeth

  • Bad Taste

    This may have a bad taste and cause you to cough temporarily, but both ill effects will subside quickly. This is all to prevent you from gagging. [verywellhealth.com]

Neurologic

  • Irritability

    A 42-year-old Chinese man presented with dyspnea, intermittent irritable cough, and sleep deprivation for one and a half years. [ncbi.nlm.nih.gov]

    The most common complications are due to irritation to the airway and vocal cords from the bronchoscope itself. [entslc.com]

    Smoking after having a bronchoscopy is discouraged, as it will increase irritation in respiratory tract. Please inform your physician if you should develop any of the following: shortness of breath, wheezing, bloody sputum, fevers, chest pain. [dana-farber.org]

    The risks of this procedure may include: Bleeding Infection Hole in the airway (bronchial perforation) Irritation of the airways (bronchospasm) Irritation of the vocal cords (laryngospasm) Air in the space between the lung covering (pleural space) that [hopkinsmedicine.org]

  • Feeling of Relaxation

    It may feel slightly uncomfortable when the bronchoscope goes down your nose or mouth, but this shouldn't last long. Your doctor might also offer you a sedative, which will make you feel more relaxed. [bupa.co.uk]

Workup

Diagnosis Diagnostic workup for massive hemoptysis should be undertaken as soon as airway protection and hemodynamic status are assessed and stabilized. [karger.com]

X-Ray

  • Atelectasis

    The present report describes a case of a large endobronchial hamartoma inducing total lung atelectasis, which was successfully resected using an electrosurgical snare through flexible bronchoscopy. [ncbi.nlm.nih.gov]

    Rigid bronchoscopyRigid bronchoscopy Indications: A) Diagnostic 1.To find the cause of wheezing, haemoptysis, or unexplained cough for more than 4 weeks. 2.When X-ray chest shows: -Atelectasis of a segment, lobe or entire lung -Localised opacity of a [slideshare.net]

Treatment

Patients were evaluated by CT and fiber-optic bronchoscopy to determine the feasibility of the implantation of radioactive seeds for the treatment of cancerous large airway stenosis. The treatment planning system (TPS) was used to plan the doses. [ncbi.nlm.nih.gov]

Bronchoscopic Treatment of Post Tracheostomy Tracheal Stenosis With Chondritis 10. Bronchoscopic Treatment of Wegener’s Granulomatosis-Related Subglottic Stenosis Section 3. Practical Approach to Expiratory Central Airway Collapse 11. [elsevier.com]

Microlaryngoscopy is especially useful for conditions in which evaluation or treatment of the vocal cords or immediate surrounding airway needs to be performed. [entslc.com]

We are also pleased to offer Bronchial Thermoplasty, the first bronchoscopic treatment available for people with asthma. [cumc.columbia.edu]

Prognosis

“The earlier we can start treatment, the better the prognosis.” Bronchoscopy can often be used to either confirm the diagnosis of lung cancer or establish an alternative diagnosis. [nydailynews.com]

It is likely to believe, but hard to prove, that a prolonged period of diagnosing and treating lung cancer aggravates the prognosis [7]. 4.3. [hindawi.com]

Osakia SI, Nakanishia Y, Watayaa H: Prognosis of bronchial artery embolization in the management of hemoptysis. Respiration 2000;67:412–416. [karger.com]

Etiology

However, the etiology of the pneumothorax remained unclear. We presume that cough-related increase in intrathoracic pressure might have led to interstitial air dissection and bilateral pneumothorax. [ncbi.nlm.nih.gov]

In most patients with infectious or inflammatory etiologies, hemoptysis is due to erosion of small friable PA branches located within the peribronchial tissue. [karger.com]

Epidemiology

He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]

McCormack, Epidemiology of Rare Lung Diseases: The Challenges and Opportunities to Improve Research and Knowledge, Rare Diseases Epidemiology: Update and Overview, 10.1007/978-3-319-67144-4_24, (419-442), (2017). [doi.org]

Epidemiology and Natural History Life-threatening massive hemoptysis accounts for only a minority of episodes of hemoptysis, ranging from 5 to 15% across studies [1,4,9,16,45]. [karger.com]

Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg 2014;9:117. [Crossref] [PubMed] Cassada DC, Munyikwa MP, Moniz MP, et al. [jtd.amegroups.com]

Pathophysiology

The procedure may prove useful in the differential diagnosis and in the potential treatment of different fetal lung lesions, as well as aid in the understanding of the role of bronchial obstruction as a common pathophysiologic mechanism for different [ncbi.nlm.nih.gov]

Understanding of the pathophysiological consequences of fibreoptic bronchoscopy in mechanically ventilated patients is essential in order to reduce complication rates. [academic.oup.com]

In this article, we will review the definition, etiology, pathophysiology, assessment and management of massive hemoptysis, with special focus on the essential role of bronchoscopy as a diagnostic and therapeutic tool. [karger.com]

Prevention

UT bronchoscopy can prevent the need to pursue more invasive open lung strategies to diagnose suspicious lesions. [ncbi.nlm.nih.gov]

In this Cleveland Clinic Advanced Diagnostic Bronchoscopy Workshop, our expert presenters will discuss the most recent diagnostic tests and procedures along with how they can be used to prevent delays in diagnosis and to eliminate more invasive tests [clevelandclinicmeded.com]

Our Identity and Mission Identity The UCLA Lung Cancer Program is comprised of a multidisciplinary team of experts who are dedicated to the prevention, detection, treatment and research of lung cancer. [lungcancer.ucla.edu]

This prevents fluid from reaccumulating around the lung. Indwelling pleural catheter. A pleural catheter is an alternative to pleurodesis for treatment of a recurrent pleural effusion. [webmd.com]

Anesthesia prevents pain during the procedure. You may feel a tugging sensation when the doctor removes a tissue sample. You may also have some breathing difficulty or shortness of breath during the procedure. [uvahealth.com]

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