{"id":95,"date":"2018-06-05T14:53:18","date_gmt":"2018-06-05T14:53:18","guid":{"rendered":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=95"},"modified":"2018-06-06T09:02:00","modified_gmt":"2018-06-06T09:02:00","slug":"bronchoscopy","status":"publish","type":"page","link":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=95","title":{"rendered":"Bronchoscopy"},"content":{"rendered":"<section id=\"h.p_JpDbVGX7tBsk\" class=\"yaqOZd\">\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-II5mzb purZT-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb JNdkSc yYI8W \">\n<div class=\"oKdM2c\">\n<div id=\"h.p_Jx7MDUGQuigi\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb jXK9ad D2fZ2 OjCsFc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh5.googleusercontent.com\/vdjocuFYsIFc33FisDz3kqvmRDIVoRfjZ721D8I1sf59S4hb80-6sWqnxDsqDR8f6RuGvFFnzGRcV6RiJjTUdaRdXnm_AdCAhlIIZMSpt-Y4u-Umks4=w371\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"oKdM2c\">\n<div id=\"h.p_ihmohAeYuyta\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb jXK9ad D2fZ2 wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h3 id=\"h.p_-c2K7HQjuytc\" class=\"zfr3Q OmQG5e\">Picture of the lungs.<\/h3>\n<p id=\"h.p_BoeVJxTqvWmh\" class=\"zfr3Q\">The bronchoscope (which is along thin black tube, with a light on the end, is passed through the windpipe into the larger air tubes called bronchi. It is possible to sample the lining of the bronchi (we call these tiny sample<strong> biopsies<\/strong>). It is also possible to gently brush the lining of the bronchi to get cells, and also to wash the lining of the bronchi &#8211; we call these samples rather unimaginatively <strong>brushings<\/strong> and <strong>washings<\/strong>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb JNdkSc L6cTce-purZT L6cTce-pSzOP\"><\/div>\n<div class=\"hJDwNd-AhqUyc-II5mzb purZT-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb JNdkSc yYI8W \">\n<div class=\"oKdM2c\">\n<div id=\"h.p_GEUp5jChtBsm\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb jXK9ad D2fZ2 OjCsFc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh5.googleusercontent.com\/v9ye4UZamjfCw-bn_aSwOFpLJR_Ab8Jnj9M5qRuzBBJ2t17kUC4I8WfvAMh6jxdAJab6fy3khqPMaLFVjATlkL1EzrGkJ3-wcc5oo2lYyI2S9yIpcTw=w371\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"oKdM2c\">\n<div id=\"h.p__2kdGooxunW3\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb jXK9ad D2fZ2 wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h3 id=\"h.p_47TCKgVPunW5\" class=\"zfr3Q OmQG5e\">Looking into the lungs using a bronchoscope.<\/h3>\n<p id=\"h.p_4t6egYSmvZWJ\" class=\"zfr3Q\">He is able to take samples from within the lungs by passing a fine wire down the bronchoscope, as you can see.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb JNdkSc L6cTce-purZT L6cTce-pSzOP\"><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_fpMU22JcpPG0\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-OwsYgb purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_K4aEVhzTpPGu\" class=\"hJDwNd-AhqUyc-OwsYgb jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h1 id=\"h.p_q1wtrMKZpPGy\" class=\"zfr3Q duRjpb\">Patient information about bronchoscopy<\/h1>\n<h2 id=\"h.p_QRptU60rs0qM\" class=\"zfr3Q JYVBee\">Please follow these instructions on the day that you are coming into hospital:<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_CV4oUm29qATA\" class=\"zfr3Q TYR86d\">Please do not eat or drink after a light breakfast and not after 8am.<\/li>\n<li id=\"h.p_F6EBoUzAp5Ys\" class=\"zfr3Q TYR86d\">No jewellery (including body piercings) should be worn. You can wear your wedding ring if you wish, but this may be taped over for safety reasons.<\/li>\n<li id=\"h.p_4ryDAQtOp5Yt\" class=\"zfr3Q TYR86d\">If you wear contact lenses, please bring storage boxes and solution as you will have to take out your lenses.<\/li>\n<li id=\"h.p_xpArEP2ap5Yt\" class=\"zfr3Q TYR86d\">Do not bring any valuables with you to hospital.<\/li>\n<li id=\"h.p_MS6WDiddp5Yu\" class=\"zfr3Q TYR86d\">Please bring a dressing gown, nightdress \/ pyjamas, slippers, wash bag and something to read.<\/li>\n<li id=\"h.p_g4r7o-nJp5Yu\" class=\"zfr3Q TYR86d\">Only bring small amounts of money into hospital.<\/li>\n<li id=\"h.p_zXfBJpB-p5Yv\" class=\"zfr3Q TYR86d\">Do not wear any make-up or nail polish.<\/li>\n<li id=\"h.p_boAE1Fdvp5Yx\" class=\"zfr3Q TYR86d\">Bring all your current medication with you.<\/li>\n<\/ul>\n<h2 id=\"h.p_Z29YMj6Tp5Yx\" class=\"zfr3Q JYVBee\">If you can\u2019t attend please let us know as soon as possible by calling:<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_xmocHIN9p5Yz\" class=\"zfr3Q TYR86d\">Bronchoscopy team: 01224 &#8211; 551982<\/li>\n<\/ul>\n<h2 id=\"h.p_YSoVUVAVp5Y1\" class=\"zfr3Q JYVBee\">What is a bronchoscopy?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_SmBY9Ghsp5Y7\" class=\"zfr3Q TYR86d\">A bronchoscopy is an examination of the major air passages of the lungs.<\/li>\n<li id=\"h.p_XOSk-1-JqgQ_\" class=\"zfr3Q TYR86d\">It is done so that your chest doctor can look inside your lungs.<\/li>\n<li id=\"h.p_OdsZlZ-ZqhgR\" class=\"zfr3Q TYR86d\">The doctor will insert a bronchoscope, a flexible tube about the width of a pencil with a bright light at the end, through your mouth (or occasionally your nose) and into your windpipe (trachea).<\/li>\n<li id=\"h.p_-81XBczMqizj\" class=\"zfr3Q TYR86d\">Bronchoscopy is performed under sedation. This means that you are given drugs which make you drowsy so that you may not remember anything about the procedure.<\/li>\n<\/ul>\n<h2 id=\"h.p_4j42oUAkp5Y8\" class=\"zfr3Q JYVBee\">What is a bronchoscopy for?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_n6BhxFLxp5Y9\" class=\"zfr3Q TYR86d\">There are many reasons for having a bronchoscopy. These include:<\/li>\n<\/ul>\n<p id=\"h.p_GJygyo1Sq5ZY\" class=\"zfr3Q bYeK8e\">Coughing up blood -to find the source and cause<\/p>\n<p id=\"h.p_rLW_OiYwq9am\" class=\"zfr3Q bYeK8e\">A persistent cough &#8211; to find the source and cause<\/p>\n<p id=\"h.p_MKkH5hb-rBpa\" class=\"zfr3Q bYeK8e\">An abnormal chest X-ray<\/p>\n<h2 id=\"h.p_LdpNalOBqn0X\" class=\"zfr3Q JYVBee\">How is bronchoscopy performed?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_wnS_E1top5ZB\" class=\"zfr3Q TYR86d\">The procedure is performed in a surgical theatre.<\/li>\n<li id=\"h.p_gp5iY_3JrH2y\" class=\"zfr3Q TYR86d\">A small plastic needle is inserted into a vein so that additional medications can be given.<\/li>\n<li id=\"h.p_UNqAlxrdrIdv\" class=\"zfr3Q TYR86d\">You will be made comfortable on a couch in either a lying or a sitting position.<\/li>\n<li id=\"h.p_rUcINjedrJEj\" class=\"zfr3Q TYR86d\">We will connect you to a heart and blood pressure monitor.<\/li>\n<li id=\"h.p_5zS4T1UArJsA\" class=\"zfr3Q TYR86d\">You will be given extra oxygen through a soft plastic tube placed just inside your nostril during the examination.<\/li>\n<li id=\"h.p_MaqvRY0ArKf_\" class=\"zfr3Q TYR86d\">At this point, sedative medication may be given through your plastic needle.<\/li>\n<li id=\"h.p_JaMrnd1prL2B\" class=\"zfr3Q TYR86d\">A mouth guard is placed in your mouth.<\/li>\n<li id=\"h.p_Hxw04BLQrMoQ\" class=\"zfr3Q TYR86d\">The bronchoscopy tube then goes into your mouth, throat, through your vocal cords and into your windpipe and lung.<\/li>\n<li id=\"h.p_qhKLH6JfrNYS\" class=\"zfr3Q TYR86d\">When it goes through your vocal cords, you may feel like you can\u2019t catch your breath. This feeling is not unusual and is temporary. Your doctor will stop to let you catch your breath before continuing the examination.<\/li>\n<li id=\"h.p_mMp2_WSFp5ZC\" class=\"zfr3Q TYR86d\">During the procedure, local anaesthetic will be given through the bronchoscopy tube to help relieve any coughing. You can help by taking slow, shallow breaths through your mouth. Try not to talk while the tube is in your lungs. Talking can make you hoarse or give you a sore throat after the procedure.<\/li>\n<li id=\"h.p_uZPHydSVp5ZC\" class=\"zfr3Q TYR86d\">The procedure usually takes about 15 to 20 minutes to allow the doctor to examine the areas carefully. A biopsy (sample) is often taken from the inside of the lungs. This involves removing a small piece of tissue from a particular area.<\/li>\n<li id=\"h.p_qyJWZZ4hp5ZD\" class=\"zfr3Q TYR86d\">You may feel pressure or tugging when the biopsy specimens are taken. However, you are not likely to have any pain. When the examination is finished the bronchoscope is removed quickly and easily, causing no discomfort.<\/li>\n<\/ul>\n<h2 id=\"h.p_eKxvqkYhp5ZD\" class=\"zfr3Q JYVBee\">How safe is bronchoscopy?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_jQb0lh5MrZCy\" class=\"zfr3Q TYR86d\">Bronchoscopy is a safe diagnostic procedure and carries little risk.<\/li>\n<li id=\"h.p_JDvvtk88rcwF\" class=\"zfr3Q TYR86d\">Complications are not common.<\/li>\n<li id=\"h.p_w5j0yvrBrdfv\" class=\"zfr3Q TYR86d\">If they occur, the more common ones are hoarseness, fever and coughing up blood.<\/li>\n<li id=\"h.p_Z5C3_1xgreNF\" class=\"zfr3Q TYR86d\">Only rarely do people have other more serious complications.<\/li>\n<\/ul>\n<h2 id=\"h.p_bg1BgVuAp5ZE\" class=\"zfr3Q JYVBee\">What is endobronchial ultrasound (EBUS)?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_CGGHp8F2p5ZE\" class=\"zfr3Q TYR86d\">Some people have enlarged lymph glands within their chest which need further investigation.<\/li>\n<li id=\"h.p_8QYEtM9wrlQQ\" class=\"zfr3Q TYR86d\">This can be done during a bronchoscopy by passing a needle (under direct vision) into a lymph gland and taking a sample of tissue.<\/li>\n<li id=\"h.p_T9VJ9R9Drl_A\" class=\"zfr3Q TYR86d\">This is a painless biopsy procedure and can often avoid a more invasive surgical procedure.<\/li>\n<\/ul>\n<h2 id=\"h.p_sTUQhKCXp5ZE\" class=\"zfr3Q JYVBee\">What happens after a bronchoscopy?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_aiSUqzj_p5ZG\" class=\"zfr3Q TYR86d\">We will observe you until you are awake enough to leave hospital (the same day or day after).<\/li>\n<li id=\"h.p_hS1MdsBRrr4a\" class=\"zfr3Q TYR86d\">Tell the nurse if you have any chest pain, difficulty breathing or notice a large amount of blood (more than one tablespoon) in your saliva.<\/li>\n<li id=\"h.p_61AxnHX8rtBY\" class=\"zfr3Q TYR86d\">It is normal to cough up a small amount of blood for a couple of days afterwards.<\/li>\n<li id=\"h.p_kUWOiom3ruCt\" class=\"zfr3Q TYR86d\">As the procedure is done under sedation you can\u2019t eat or drink anything for at least 2 hours because your throat will still be numb. There is also a danger that you could inhale food or drink into your lungs.<\/li>\n<li id=\"h.p_DHsC_NsJspMy\" class=\"zfr3Q TYR86d\">You MUST make arrangements for home.<\/li>\n<\/ul>\n<h2 id=\"h.p_HfszFxjmp5ZH\" class=\"zfr3Q JYVBee\">What should I do after I go home?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_9XR0sD_zp5ZH\" class=\"zfr3Q TYR86d\">For 24 hours after bronchoscopy you are strongly advised:<\/li>\n<\/ul>\n<p id=\"h.p_TWLyk-MBsLsn\" class=\"zfr3Q bYeK8e\">Not to drink alcohol<\/p>\n<p id=\"h.p_jL7648VSsNzx\" class=\"zfr3Q bYeK8e\">To take your usual medication unless advised not to by your doctor or the hospital team<\/p>\n<p id=\"h.p_6mtHkKsJsTcc\" class=\"zfr3Q bYeK8e\">Not to drive or cycle<\/p>\n<p id=\"h.p_4kNoVJMdsVi6\" class=\"zfr3Q bYeK8e\">Not to operate machinery, including kitchen equipment<\/p>\n<p id=\"h.p_psZ_hmNhsZWc\" class=\"zfr3Q bYeK8e\">Not to sign any legal documents or make important decisions<\/p>\n<p id=\"h.p_yHXuYmXjshAP\" class=\"zfr3Q bYeK8e\">Not to be alone at night<\/p>\n<h2 id=\"h.p_1tK6ncKJp5ZL\" class=\"zfr3Q JYVBee\">When will I get the results?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_dsfmmFyJp5ZO\" class=\"zfr3Q TYR86d\">The results of any samples taken may take four to five days. Before going home we will give you an appointment to return for your results.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-wNfPc purZT-AhqUyc-II5mzb pSzOP-AhqUyc-wNfPc JNdkSc yYI8W \">\n<div class=\"oKdM2c\">\n<div id=\"h.p_uONbRyf95Yw4\" class=\"hJDwNd-AhqUyc-wNfPc pSzOP-AhqUyc-wNfPc jXK9ad D2fZ2 OjCsFc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"WIdY2d M1aSXe\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Picture of the lungs. The bronchoscope (which is along thin black tube, with a light on the end, is passed through the windpipe into the larger air tubes called bronchi. It is possible to sample the lining of the bronchi (we call these tiny sample biopsies). It is also possible to gently brush the lining&hellip; <\/p>\n<p><a class=\"moretag\" href=\"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=95\">Read the full article<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":77,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-95","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/95","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=95"}],"version-history":[{"count":1,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/95\/revisions"}],"predecessor-version":[{"id":97,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/95\/revisions\/97"}],"up":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/77"}],"wp:attachment":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=95"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}