Video Bronchoscopy is a procedure used to evaluate the airways, lungs or lymph nodes in the chest for abnormalities and to treat conditions such as abnormal growths or foreign bodies causing airway obstruction. Bronchoscopy is commonly performed to evaluate abnormal findings on a chest X-ray or CT scan and obtain biopsies for further studies.

A flexible bronchoscope is longer and thinner than a rigid bronchoscope. It contains a fiberoptic system that transmits an image from the tip of the instrument to an eyepiece or video camera at the opposite end. Using Bowden cables connected to a lever at the hand piece, the tip of the instrument can be oriented, allowing the practitioner to navigate the instrument into individual lobe or segment bronchi. Most flexible bronchoscopes also include a channel for suctioning or instrumentation, but these are significantly smaller than those in a rigid bronchoscope.

Flexible bronchoscopy causes less discomfort for the patient than rigid bronchoscopy and the procedure can be performed easily and safely under moderate sedation. 

Benefits :

Diagnostic

  • To view abnormalities of the airway
  • To obtain tissue specimens of the lung in a variety of disorders. Specimens may be taken from inside the lungs by biopsy, bronchoalveolar lavage, or endobronchial brushing.
  • To evaluate a person who has bleeding in the lungs, possible lung cancer, a chronic cough, or sarcoidosis

Therapeutic

  • To remove secretions, blood, or foreign objects lodged in the airway
  • Laser resection of tumors or benign tracheal and bronchial strictures
  • Stent insertion to palliate extrinsic compression of the tracheobronchial lumen from either malignant or benign disease processes
  • Bronchoscopy is also employed in percutaneous tracheostomy
  • Tracheal intubation of patients with difficult airways is often performed using a flexible bronchoscope