Bronchoscopy with transbronchial biopsy

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Bronchoscope

Bronchoscopy

You should not eat for 6 to 12 hours before the test. You may be told to avoid aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or blood thinniners such as warfarin for a period of time before the procedure. Always check with your health care provider before changing or discontinuing any medications.

Arrange for transportation to and from the hospital. Many people want to rest the following day, so make arrangements for work, child care, or other obligations.

Local anesthesia is used to relax your throat muscles. You may feel fluid running down the back of the throat, and feel you need to cough or gag until the anesthetic takes effect.

Despite the anesthesia, you may have sensations of pressure or mild tugging as the tube moves through the trachea. Many patients experience a feeling of suffocation when the tube is in the throat, but there is no risk of suffocation. Try to remain calm. If you cough during the test, more anesthetic will be added.

An x-ray is often taken after the bronchoscope is removed. When the anesthetic wears off, your throat may be scratchy for several days. After the test, your cough reflex will return in 1 to 2 hours, then normal eating and drinking is allowed.

It is common after a transbronchial biopsy to cough up small amounts of blood-tinged sputum for a day. The pulmonologist will give you instructions on whom to contact should you cough up significant amounts of blood.

A transbronchial biopsy is most often performed when there is diffuse infiltrative pulmonary disease, tumors, rejection of a transplanted lung, or severe illness that prevents the use of open lung biopsy.

Review Date: 08/07/2006
Reviewed By: David A. Kaufman, M.D., Assistant Professor, Division of Pulmonary, Critical Care & Sleep Medicine, Mount Sinai School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.