What is BRONCHOSCOPY?
It’s Definition, Types,
Purpose and Procedure
* DEFINITION
Bronchoscopy is the process of direct visualization of the tracheobronchial tree and the Broncho pulmonary segment.
*PURPOSES
– To obtain samples of pulmonary tissues and cell for cytological examination
-To obtain bronchial secretion for microscopic examination
-To apply a medication directly to the Trachobronchial
* TYPES
*Rigid
– it is used for returning foreign objects rigid Bronchoscopy is preferred for recovery foreign body aspiration because the allows protections of the airway and controlling the foreign body in the lungs
* flexible
A flexible bronchoscopic is longer and thinner than a rigid bronchoscope
*INDICATIONS
– chronic cough
– hemoptysis
– ateletasis
– lung cancer
– pneumonia
– lung abess
*CONTRAINDICATION
– myocardial infarction
-unstable angina
– carbon dioxide retention
– Tracheal stenosis
– asthma
* ARTICLES
-bronchoscope either fibroptic or rigid
– biopsy forceps
– tongue depressor
– cytology brush
– lubricant
– pharayngel spray
– A container with sterile gauze piece
-kidney tray and paper bag
-mask
-gloves and apron
*PROCEDURE
– patient is place in his back and allow him to lies on his back with his neck.
– The scope is passed through mouth or nose through wind pipe and lungs
– A numbing drug sprayed in mouth and Throat
-send saline solution through the tube
– This wash the lungs and allows to collect samples of long cell fluids and other materials inside the air sacs
– some time tiny brushes needles or forceps may be passed through the bronchoscope to take very small tissue sample from lungs
*AFTER CARE
– observe the client for laryngeal spasm
-observe the client for emphysema around the face and neck
– observe the client for symptoms of toxicity caused by the local anesthetic agents