What is a bronchoscopy?
A bronchoscopy is a procedure in which your health care
provider examines the airways to your lungs with a thin,
flexible, lighted tube called a bronchoscope.
When is it used?
This procedure may be done because:
- You have an irritation, growth, or scar tissue in part of
your lungs or the airways to the lungs.
- There may be an inherited deformity in the lungs.
- There may be a foreign body, such as a peanut or coin, in
your lungs.
- You may need your lungs checked for signs of cancer.
- You have a cough or you are coughing up blood.
- You need to have cultures taken to diagnose an infection.
- You need to have a small sample of lung tissue (biopsy)
taken for lab tests.
How do I prepare for a bronchoscopy?
Plan for your care and recovery after the procedure,
especially if you are to have general anesthesia. Find
someone to drive you home after the surgery. Allow for time
to rest and try to find other people to help you with your
day-to-day duties.
Follow your health care provider's instructions about not
smoking before and after the procedure. Smokers heal more
slowly after surgery. They are also more likely to have
breathing problems during surgery. For this reason, if you
are a smoker, you should quit at least 2 weeks before the
procedure. It is best to quit 6 to 8 weeks before surgery.
Also, your wounds will heal much better if you do not smoke
after the surgery.
Follow any other instructions your provider gives you. Eat
a light meal, such as soup or salad, the night before the
procedure. Do not eat or drink anything after midnight or
the morning before the procedure. Do not even drink any
coffee, tea, or water. Do not swallow water when you brush
your teeth.
What happens during the procedure?
You are given a local or general anesthetic. A local
anesthetic may be sprayed into your nose and mouth to
prevent gagging when the tube is passed through your mouth.
If you have a local anesthetic, you may also be given a
sedative to relax you. A general anesthetic relaxes your
muscles, puts you to sleep, and prevents you from feeling
pain.
Your health care provider will pass a tube into your mouth
and throat, down the windpipe, and into the lungs. If your
provider finds cancer cells, growths, sores, or other
unhealthy tissue, he or she may remove them or take a
sample. If a foreign body is found, it is usually removed.
What happens after the procedure?
You may go home soon after the procedure or stay in the
hospital for several hours or overnight, depending on what
was done and your condition after the procedure. You will
feel some soreness in your neck. The soreness may last a
few days after the procedure. You may be hoarse or have a
cough. Lozenges or soothing gargles may be helpful.
Ask your health care provider what else you should do to be
comfortable at home. Ask when you should come back for a
checkup.
What are the benefits of this procedure?
This procedure will help your health care provider diagnose
and treat your breathing problems. It may relieve your
symptoms if you had a foreign body in your airway.
What are the risks associated with this procedure?
- There are some risks when you have general anesthesia.
Discuss these risks with your health care provider.
- Some of your teeth may be chipped if your health care
provider uses a rigid tube. Usually flexible fiber-optic
bronchoscopes are used instead of the rigid tubes.
- Your jaw may be sore.
- Your throat may be swollen.
- You may have infection and bleeding.
Ask your health care provider how these risks apply to you.
When should I call my health care provider?
Call your health care provider right away if:
- You have shortness of breath.
- You are coughing up blood.
- You have new or increased wheezing.
- You develop a fever.
Call your health care provider during office hours if:
- You have questions about the procedure or its result.
- You want to make another appointment.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File RSP4804F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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