Broncoscopy

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A) Diagnostic uses

1. To evaluate lung lesions of unknown etiology that
appear on the chest x-ray (lung malignancy is always the
top priority and should be given very early appointment)
2. To assess airway patency.
3. To investigate unexplained hemoptysis (where TB work
up is negative), unexplained cough , localized wheeze or
stridor.
4. To search for the origin of suspicious or positive sputum
cytology.
5. To investigate the etiology of unexplained paralysis of a
vocal cord or hemidiaphragm, superior vena cava
syndrome, chylothorax or unexplained pleural effusion
(where pleural biopsy is negative).
6. To evaluate problems associated with endotracheal
tubes such as tracheal damage, airway obstruction or tube
placement.
7. To obtain material from microbiologic studies in
suspected pulmonary infections.
8. To evaluate the airways for suspected bronchial tear or
other injury after thoracic trauma.
9. To evaluate a suspected tracheosophageal fistula,
interstitial lung disease or bronchiectasis.
10. To determine the location and extent of respiratory.
tract injury after acute inhalation of noxious fumes or
aspiration of gastric contents.
11. To obtain material for study from the lungs of patients
with diffuse or focal lung diseases.

B) THERAPEUTIC USES

1. To remove retained secretions or mucus plugs not
mobilized by conventional noninvasive techniques
2. To remove foreign bodies.
3. To remove abnormal endobronchial tissue or foreign
material by use of forceps or laser techniques.
4. To perform difficult intubations.

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Uploaded by

Julio Murra-Saca

Physician (Internal medicine - Gastroentrology)

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