【Major Points】
- If you are taking anticoagulants, please inform your doctor.
- Do not eat or drink anything for at least 4 hours before the examination.
- If you are taking antihypertensive medications, continue to take them as scheduled on the day of the examination.
What is bronchoscopy?
Bronchoscopy is a procedure that uses a bronchoscope, a flexible tube inserted through the mouth, nose, endotracheal tube, or tracheostomy tube into the trachea and bronchi. It allows the doctor to examine the airways and lungs. The bronchoscope can also be used to collect specimens, obtain tissue biopsies, perform bronchoalveolar lavage, or control bleeding.
Why
Is bronchoscopy
performed?
Bronchoscopy
is one of the main examinations used to diagnose lung cancer and other
pulmonary diseases.
Preparations before bronchoscopy:
-
Complete and sign the examination consent form.
- Complete the required blood tests.
- Inform your doctor if you are taking anticoagulants. These medications prolong blood-clotting time and reduce blood clot formation.
- Do not eat or drink anything for at least 4 hours before the examination. If you are taking antihypertensive medications, take them at the scheduled time with 20–30 mL of water.
- If bronchoscopy is performed under sedation or general anesthesia, an anesthesia consultation and consent form are required beforehand.
How Is bronchoscopy performed?
In the examination room, the doctor will spray a local anesthetic into your throat or nose. If you feel uncomfortable during the examination, raise your hand to inform the healthcare staff for assistance.
- If you receive sedation, the anesthetic will be given through an intravenous line.
- The examination takes about 30 minutes. You will need to lie flat with your head tilted backward.
- When the bronchoscope reaches your throat, follow the doctor's instructions and swallow when asked.
Matters needing attention after bronchoscopy:
-
The doctor will determine whether a chest X-ray is needed 4 hours after the examination.
-
Rest for 1–2 hours after the examination. Start with a small sip of water. If you do not experience choking or nausea, you may begin eating. Choose soft foods, such as porridge or steamed eggs, and gradually return to your normal diet.
- Please arrange for a family member to accompany you home on the day of the examination.
-
You may have a sore throat, cough, sputum, or a small amount of blood-streaked sputum for 1–2 days after the examination.
Seek immediate medical attention or go to the emergency department if you develop a fever, difficulty breathing, chest pain, or cough up several spoonfuls of blood.
Reference
-
Chen, C.A., Cheng, P.J., Chang, H.T., Chen, Y.C., & Lin, M.H.(2023). Recent advances in lung cancer screening. Journal of the Taipei Medical Association, 67(1), 36-43. https://www.airitilibrary.com/Article/Detail?DocID=P20110322001-N202301310018-00001 -
Chen, Y.T., & Feng, C.Y. (2023).
Chest case (392): endobronchial tuberculosis complicated by tracheal stenosis. Clinical Medicine, 91(1), 55-60. https://doi.org/10.6666/ClinMed.202301_91(1).0011
- Fantin, A., Manera, M., Patruno, V., Sartori, G., Castaldo, N., & Crisafulli, E. (2023). Endoscopic technologies for peripheral pulmonary lesions: From diagnosis to therapy. Life, 13(2), 254. https://doi.org/10.3390/life13020254
- Kedige, A. R., & Dinesh, U. S. (2023). Role of bronchoscopic cytology in diagnosis of pulmonary lesions. Journal of Cytology, 40(1), 35-41. https://doi.org/10.4103/joc.joc_138_22
- Mahmoud, N., Vashisht, R., Sanghavi, D. K., & Kalanjeri, S. (2025). Bronchoscopy. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448152/