Bronchoscopy: indications, preparation, complications, reviews
For the successful treatment of diseases of the respiratory system requires detailed examination. One of the modern and qualitative methods for diagnosing such diseases is bronchoscopy. For the first time a similar study was conducted in the distant 1897. Since that time I have written a lot of books and other scientific papers on how to most safely, quickly and efficiently should be carried out medical manipulation. Also more than a hundred years have passed since the initial study greatly changed medical technology.
Bronchoscopy is a method for examination of the trachea and bronchi, in which visual inspection of the organs the endoscope is used. The study is carried out using a special instrument called bronchoscope. So sometimes in a variety of materials can be found another name for the procedure is a bronchoscopy. It should be borne in mind that, based on the structure of the upper respiratory tract, it is impossible to reach the bronchi, bypassing the trachea.
With modern medical instruments can be carried out not only diagnosis but also to carry out therapeutic manipulation.
During the procedure can be conducted in various ways. Among them: removal of foreign bodies, mucus or scarring, stop bleeding. If you suspect the presence of malignant tumor process can be carried out tissue sampling biopsy for subsequent verification of the disease.
It is not recommended to treat people with asthma in the acute stage, with recent severe disease (heart attack, stroke), with severe arrhythmias.
In the presence of comorbidities medical manipulation is assigned only in the case when diagnostic use is much higher than the potential harm and complications.
Preparation for bronchoscopy and its implementation
Before the procedure the doctor appoints to the patient’s General examination: blood and urine analysis, ECG. Obligatorily chest x-ray.
Examination of the body occurs in the movement from lower-tech procedures to the more specific and accurate.
The actual bronchoscopy is also, as with any endoscopic examination. The study necessarily takes place on an empty stomach. The patient is on the couch lying on your back or side. Always do pre-anesthesia. It can be both local and General. With local anesthesia the mouth or nose is irrigated with a solution of lidocaine or procaine. In addition, you can administer the sedative drugs. Under General anesthesia, drugs are administered intravenously.
Then through the nose or mouth, the doctor inserts an endoscope – a thin tube. If necessary, possible additional air injection into the cavity of the respiratory tract for a better view. The procedure usually lasts for a short time.
The type of anesthesia, the amount of manipulation and time of treatment depend on the suspected pathology, the patient’s age and condition.
After the procedure
Immediately after the manipulation the patient is not sent home. For a while he should remain under observation of doctors.
We should not immediately eat or drink water. We must wait for the expiration of a pain reliever or prescribed by your doctor.
After bronchoscopy the possible discomfort associated with the peculiarities of the procedure. Among them may be scratchy or sore throat, hoarseness. In this case, the doctor may prescribe medicines for throat soothing effect.
During the study, the doctor immediately, on the spot, see the status of the examined respiratory. Under his attention gets overall rating of the mucous membrane, the presence of foreign bodies, tumors, ulcers, bleeding, etc. Also, it can carry out medical operations.
Immediately after the procedure, the doctor will explain everything he found during the study. In rare and severe cases you may need to consult other specialists. Then the doctor will tell his colleagues made during the study images. Official report signed and stamped by the doctor handed out later.
Reviews of the patients who underwent the study
Patients who have undergone this procedure, and speak of her as an informative method, quite positive. Many passing bronchoscopy helped to establish the true causes of the emergence of certain symptoms (cough, frequent colds, etc.).
If the fear of the procedure is too large, it is possible under General anesthesia.
Of the negative aspects describe a General nuisance of manipulation, but they last only a couple of minutes. After the procedure all report pain in the throat, which passes within a few days.