1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Bronchoscopy?
A bronchoscopy is a procedure that allows a doctor to examine the inside of the lungs, including the bronchi, which are the main pathways into the lungs. During a bronchoscopy, a doctor inserts a thin tube containing a light and camera into the lungs through the nose or mouth. The doctor can use the findings to diagnose infections, tumors, or diseases in the lungs.
Reasons of Bronchoscopy
Follow up on a scan that has indicated a lung infection or tumor, or a collapsed lung
Determine why someone is coughing up blood
Find the cause of a chronic cough
Discover the reason for shortness of breath
Look for blockages in the airways
Check for lung rejection, following a transplant
Assess damage after someone has inhaled chemicals or toxic gases
Take a biopsy
It can also be used for:
Removing fluid, mucus plugs, or foreign objects in the airways
Widening a blocked or narrowed airway
Draining an abscess
Risks Involved in Bronchoscopy
Bronchoscopy is usually safe, but there are certain risks.
An abnormal heartbeat, which is called an arrhythmia
Low blood oxygen levels during the procedure
minor bleeding, especially after a biopsy
Also, a person with a history of heart conditions may have an increased risk of heart attack.
Rarely, a bronchoscopy can cause a lung to collapse, which is called pneumothorax. This happens if the lung is punctured during the procedure. It is more likely if a doctor is using a rigid rather than a flexible scope.
When a person has general anesthesia, additional risks include:
Blood pressure changes
A slow heart rate
Doctor will often recommend that a person avoids eating or drinking for a specified period. Discuss any current medications with the doctor, especially blood thinners such as aspirin or warfarin. The doctor may advise against taking some medications shortly before the procedure.
Most people are awake during a bronchoscopy. Before the procedure, a doctor sprays a local anesthetic into the nose and throat to numb the area. Many people also take a sedative to help them relax. Doctors only recommend a general anesthetic in rare cases, when they will be using a rigid bronchoscope.
Once the anesthetic takes effect, the doctor will usually insert a flexible bronchoscope tube through the nose and throat and into the bronchi. As the tube moves into the lungs, a person may feel a pressing or tugging sensation. Some people initially cough or gag, but this usually subsides quickly. A doctor may administer oxygen throughout the procedure may to aid breathing. The bronchoscope’s light and camera help the doctor to see the airways clearly, even around bends.
If a doctor needs to insert a stent or take a biopsy, they can pass brushes, needles, and other instruments through a channel in the bronchoscope. A stent is a small tube that helps to keep blocked or narrow airways open. A doctor sometimes sprays a saline solution through the airways, in a process called bronchial washing, or lavage, to collect cells and fluids. The doctor will later examine them under a microscope.
During the bronchoscopy, a doctor may take an ultrasound, to get a clearer picture of the lymph nodes and tissues in and around the bronchi. Once they are finished checking the airways, the doctor will remove the bronchoscope. The procedure usually takes 20–30 minutes, although times can vary, depending on the number of examinations and the underlying issue. Most people can return home on the day of the procedure.
A bronchoscopy is a relatively quick and painless procedure. Afterward, a person will need to remain at the hospital for a few hours until the medications wear off. Blood pressure and breathing are monitored during this time to check for complications. The ability to cough, called the cough reflex, should return within 2 hours. After this, it is safe to eat and drink again. After taking a sedative, a person should avoid driving, operating machinery, and drinking alcohol for 24 hours. Most people can return to regular activities after 24 hours, but it is normal to have a sore throat and hoarseness for a few days.
Bronchoscopy is a procedure that is performed by lung specialists (pulmonologists or thoracic surgeons) to diagnose or treat a variety of lung-related diseases. There are two types of bronchoscopes - flexible fiber optic and rigid. Bronchoscopy is relatively safe.
It is not uncommon for patients to cough up a small amount of blood for a day or so after the procedure. Please notify us if you continue to cough up blood over several days, cough up large amounts of blood, or develop chest pain, shortness of breath, or a fever greater than 101 degrees.
The recovery after the bronchoscopy may take from 1 to 3 hours. Sometimes, an overnight stay is required. Afterward, you may feel tired for 1 or 2 days. Your mouth may feel very dry for several hours after the procedure. You may also have a sore throat and a hoarse voice for a few days.
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