What are the indications for bronchoscopy?

What are the indications for bronchoscopy?

Diagnostic Indications. The most frequent diagnostic indications for bronchoscopy include cough, hemoptysis, radiologic changes suggestive of tumor, bronchial obstruction, atelectasis and localized wheezing. These conditions may be produced by inflammatory processes, tumor, or by foreign bodies.

Where should a bronchoalveolar lavage be obtained?

BALF and sputum are useful for diagnosis of lung pathologies. Bronchoalveolar lavage (BAL) is a medical procedure in which a bronchoscope is passed through the mouth or nose into the lungs. Fluid is then squirted into a small part of the lung and then recollected for analysis.

What is the difference between BAL and bronchial washing?

Bronchoalveolar lavage (BAL) must be distinguished from bronchial lavage. In the latter, saline is instilled into the large airways or bronchial tubes and then aspirated for fluid analysis.

Is BAL the same as bronchial washing?

Bronchoalveolar lavage (BAL) and bronchial washing (BW) are two major methods used to obtain high-quality respiratory specimens from patients with suspected pulmonary tuberculosis (TB) but a sputum-scarce or smear-negative status.

What are the contraindications of bronchoscopy?

Contraindications. Transbronchial biopsy should be done with caution in patients with uremia, superior vena cava obstruction, or pulmonary hypertension because of increased risk of bleeding. Inspection of the airways is safe in these patients, however.

Which of the following are indications for rigid bronchoscopy?

The indications for rigid bronchoscopy include airway bleeding, foreign body retrieval, deeper tissue biopsy specimens when fiberoptic specimen is not sufficient, dilation of airway strictures, relief of airway obstruction, insertion of stents, and various uses in pediatric bronchoscopy, as well as laser therapy or …

What condition is a contraindication for fiberoptic bronchoscopy?

Uncooperative or mentally deranged patients are not suitable candidates for fiberoptic bronchoscopy under local anesthesia. A bronchoscopy must be performed under general anesthesia. This is not a contraindication for a bronchoscopy.

  • October 6, 2022