Some of the common reasons why bronchoscopies are done include:
Infection : specific samples from your lungs can help your doctor to find the causes of infections and give you appropriate treatment. Your doctor can also use the bronchoscope to clear some of the mucus from your breathing passages.
Bleeding : your doctor can look inside your breathing passages to determine where the blood is coming from that you are coughing up.
An abnormal Chest X-ray / CT SCAN: there can be wide reasosn for a spot in your lung on ct chest seen as narrowing of a breathing passage or a “spot” on your lung that your doctor wants to investigate with the bronchoscope and take small samples to find the cause.
Persistent cough, samples taken during a bronchoscopy and an examination of the breathing passages can sometimes help to determine the cause for a cough that does not respond to usual medication.
Noisy breathing , a bronchoscopy can help to see if narrowing of your breathing passages or erratic movement of your vocal cords (voice box) is causing additional breathing sounds. Your doctor will explain why you need the bronchoscopy.
You will need to provide an up-todate list of all your medication, allergies and any medical conditions. Your doctor will review this with you including list of routine blood investigation.
Kidney function test.
Liver function test.
Complete blood count and ESR.
Blood clotting profile PTINR.
HIV/ HBSAG/ HCV.
Xrays and Ct scan of Chest.
A local anaesthetic will be applied to your nose and the back of your throat via a syringe and needle inserted into the neck in lying down (transtracheal route) . This can be uncomfortable; the anaesthetics taste bitter and makes throat and tongue heavy and difficult to swallow. The sensation of numb ‘blocking’ in the back of your throat is expected and so is the sensation of minimal throat pain, salty water and difficulty talking. It is temprorary and will reverse as soon as the procedure is over and will be asked to wait in recovery till it is almost gone before sending you home. If there is any situation out of the above please dont fear to ask your doctor and anesthetist.