* 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

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- 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


 

What is BRONCHOSCOPY? It's Definition, Types, Purpose and Procedure. 

AUTHOR : CHAITRA GOPAL