Diagnostic Bronchoscopy

Summary

Diagnostic bronchoscopy is a medical procedure where a thin tube with a camera is inserted through the mouth into the lung airways to visually inspect and collect samples. Dr. Zaid Zoomit from Cleveland Clinic Abu Dhabi explains that the procedure can be done with the patient either sedated or under general anesthesia. The process involves thorough inspection, lavage, brushings, and potentially a transbronchial biopsy, especially when deeper lung tissue samples are necessary. Utilizing modern technology such as electromagnetic navigation and real-time X-ray helps to ensure accurate sampling and minimize risks. Typically lasting about 15 minutes, the procedure is considered safe and routine, with patients recovering quickly and returning for follow-up within a week. Bronchoscopy plays a crucial role in diagnosing lung diseases effectively, enabling targeted and effective treatment.

Highlights

• Bronchoscopy involves a camera-tube to explore lung airways 📹.
• The procedure can be done with the patient sedated or asleep 😴.
• Sampling methods include lavage, brushings, and biopsies 🔬.
• Real-time imaging helps avoid complications like pneumothorax 🛡️.
• It's a routine and safe procedure, lasting about 15 minutes ✨.
• Patients resume normal activities soon after the procedure 🕺.

Key Takeaways

• Diagnostic bronchoscopy uses a camera to inspect and sample lung airways 🩺.
• Patients can be awake with sedation or under general anesthesia 🌜.
• The procedure is quick, safe, and typically takes just 15 minutes 🕒.
• Modern technology ensures precise sampling and reduces risks ⚙️.
• Bronchoscopy is essential for diagnosing lung diseases effectively 🫁.

Overview

Bronchoscopy is a fascinating procedure where a camera-fitted tube takes center stage, allowing doctors to peek inside your lung airways. This minimally invasive procedure is swift, usually lasting around 15 minutes. Positions such as being awake yet sedated or fully asleep under anesthesia ensure patients are comfortable throughout the process. It's intriguing how brushing and biopsy tools are passed through the bronchoscope, much like tiny detectives searching for clues! 🕵️‍♂️

Sampling during bronchoscopy is quite thorough! Doctors might decide to do a lavage—where saltwater is introduced and then suctioned out—or use a brush to gather cell samples. Not to mention the use of forceps for biopsy if necessary. It's like a treasure hunt inside the lungs, capturing vital information to solve medical mysteries and get to the root of the problem. 🏴‍☠️

Thanks to advancements in technology such as electromagnetic navigation and real-time X-rays, bronchoscopy has become even more sophisticated, ensuring safety while enhancing diagnostic accuracy. Patients can expect a smooth recovery, with throat numbness lingering just for a short while before they can munch on their favorite snacks again. Most importantly, this essential procedure paves the way for understanding and treating lung diseases effectively, contributing significantly to patient care. 🌟

Diagnostic Bronchoscopy Transcription

• 00:00 - 00:30 in bronchoscopy is a diagnostic test where we insert a long thin tube with a mini camera on a step through the mouth and into the Airways of the lungs it allows us to visually inspect the inside of the airways and also to collect samples from the lungs my name is Zaid zoomit I'm staff physician and interventional pulmonologist at Cleveland Clinic Abu Dhabi so diagnostic bronchoscopy in the initial phase involves a visual
• 00:30 - 01:00 inspection of all the Airways that we can reach with the camera and once we've had a look around we will tend to do the sampling from the areas that we want to target we can do bronchoscopies either with the patient awake and sedated or we can have the patient completely asleep under general anesthesia once the patient is comfortable and the throat is numb we'll past the bronchoscope which is this long thin tube through the mouth and into the main windpipe as their vocal cords after
• 01:00 - 01:30 that a full inspection of all the areas will be performed for suspected fracture we might want to do something called the lavage we will wedge the bronchoscope at the opening of the airway that leads to the part of the lung that we're most interested in doing we will then inject saltwater into that area of the lung and suction it back out into a container we can also perform bronchial brushings where we pass the brush through the bronchoscope and agitate the part of the
• 01:30 - 02:00 lung where we want to get samples from if we find the Allegiant which looks abnormal inside the airwaves we can pass small forceps through the bronchoscope and take small bites of that area at times where we suspect a disease of the lung tissue itself and we want to get samples of the lung tissue we will need to do a transport kill biopsy and we'll pass the forceps deeper into the lung then we time the sampling so that when the patient is breathing out slowly we take a bite of
• 02:00 - 02:30 the lung tissue itself smaller lesions that may be further away from the big Airways can be a bit harder to get at but we have tools like the electromagnetic navigation and the x-ray to help us make sure that we have a good yield from these procedures will be taking real time extra images as we're taking the sample and this is to reduce the risk of causing a pneumothorax or any other complication diagnostic Pro Cosby is an extremely safe and routine procedure in general it doesn't take more than 15 minutes to perform from
• 02:30 - 03:00 start to finish the patient is usually sleepy for one to two hours after the procedure the numbness in the throat eerily settles within a couple of hours and then they can have something to eat or drink and they will go home what we usually do is ask the patient to come back to clinic to see us one week after the procedure to discuss results of their camera tests the chance of success of bronchoscopy in terms of establishing by moose is very high especially now that we have this modern technology that
• 03:00 - 03:30 enables us to make sure that we are reaching exactly the right area of the lungs that we should be sampling but bronchoscopy is an essential tool in the investigation process of lung diseases it allows us to definitively diagnose what the problem is and that in turn enables us to treat it the best possible way [Music]