bronchoscopy…

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what the risks are bronchoscopy, bronchoscopy, fiberoptic bronchoscopy, bronchoscopy, diagnostic procedure, a tube, a tiny camera on the end is inserted, the nose, mouth, lungs, procedure provides a view, the airways, the lung, allows doctors to collect lung secretions, tissue specimens, biopsy, pulmonologist, a lung specialist trained to perform a bronchoscopy, sprays a topical, local anesthetic in mouth, throat, cause coughing at, stop, the anesthetic begins to work, area feels "thick", it is sufficiently numb, medications given, an iv to help relax, bronchoscopy is performed via the nose, an anesthetic jelly, inserted into one nostril, scope, inserted, the numbed nostril, it passes, the throat, trachea, bronchi, a flexible bronchoscope is used, flexible tube is less than 1/2-inch wide, 2 feet long, the bronchoscope, examine the airways, the lungs, obtain samples of lung secretions to send, laboratory analysis, saline solution is introduced to flush the area, collect cells to be analyzed by a pathologist, microbiologist, the procedure, a "lavage", a bronchial washing, small amounts, 5-10 cc, 1-2 teaspoons, saline, in certain circumstances, a larger volume of saline used, in this procedure, bronchoalveolar lavage, up to 300 cc of saline, 20 tablespoons, instilled, airway, bronchoscope has been advanced, far, a small airway is temporarily blocked by the scope, bronchoalveolar lavage is performed, obtain a sample, the cells, fluids, materials present, in the very small alveoli, air sacs, tiny brushes, needles, forceps introduced, the bronchoscope, obtain tissue samples from lungs, stenting, laser therapies, the bronchoscope, a rigid bronchoscope is less commonly used, general anesthesia, this test, require an overnight stay, in the hospital, fasting, 6 to 12 hours, want to avoid any aspirin, ibuprofen medications, the procedure, must sign an informed consent form, arrange, transportation to, hospital, want to rest the following day, make arrangements, work, child care, obligations, infants, children, test depends on child's age, level of trust, prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, local anesthesia, relax the throat muscles, anesthetic begins to work, a feeling of fluid running down the back, the throat, cough, gag, once the anesthetic takes effect, sensations of pressure, mild tugging, the tube moves, the trachea, experience the feeling of suffocation, the tube, in the throat, no risk of suffocation, is coughing, anesthetic, added, anesthetic wears off, throat scratchy, several days, cough reflex, return in 1 to 2 hours, eating, drinking, not allowed, this test is recommended, another diagnostic procedure suggests a lung disease that, an inspection, the airways, a tissue sample, diagnosis, bronchoscopy is also recommended, have been coughing up blood, hemoptysis, trachea, bronchi have normal cells, secretions, no foreign bodies, obstructions, abnormality, in the bronchial wall, inflammation, swelling, ulceration, tumor, enlarged glands, lymph nodes, stenosis, compression, the trachea, dilated tubular vessels, irregular bronchial branching, hemorrhage, lung cancer, infections from bacteria, viruses, fungi, parasites, tuberculosis, additional conditions under which the test performed, bronchoscopy, evaluate any disease in pulmonary medicine, acute pulmonary eosinophilia, loeffler's syndrome, aspiration pneumonia, atelectasis, bronchial adenoma, cmv pneumonia, chronic pulmonary coccidioidomycosis, cryptococcosis, disseminated tuberculosis, infectious, chronic pulmonary histoplasmosis, metastatic cancer, lung, pneumonia in immunocompromised host, pneumonia, lung abscess, pulmonary actinomycosis, pulmonary aspergilloma, mycetoma, pulmonary aspergillosis, invasive type, pulmonary histiocytosis x, eosinophilic granuloma, pulmonary nocardiosis, pulmonary tuberculosis, sarcoidosis, svc obstruction, main risks from bronchoscopy, infection, bleeding from biopsy sites, a small risk of, disordered heart rhythm, arrhythmias, heart attack, low blood oxygen, risk of hypoxemia greater, bronchoalveolar lavage, pneumothorax, rare instances, general anesthesia is used, risk, nausea, vomiting, sore throat, muscle pain, breathing difficulties, depressed heart rate, change in blood pressure, small risk, heart attack, kidney damage, a biopsy is taken, risk of hemorrhage, bleeding is common, technician, nurse, monitor the amount, bleeding, significant risk of choking, water, ingested, the anesthetic wears off, gag reflex, it does, not eat, drink, to test gag reflex has returned, place a spoon on the back of tongue, few seconds, light pressure, no gagging, wait 15 minutes, attempt it again, make sure that no small, sharp objects, test this reflex.