Indications and Contraindications in Flexible Bronchoscopy

Diagnostic utility of flexible bronchoscopy in elderly patients

“…In recent years, FB has been considered more preferable than rigid bronchoscopy because of the opportunity to evaluate distal segments, no need for general anesthesia and hospitalization, and much better tolerance of FB. FB can be used both for therapeutic and diagnostic purposes . In the present study, we demonstrated a significant difference regarding indications and initial diagnosis between study groups.…”

“…Bronchoalveolar lavage, transbronchial lung biopsy, mucosal biopsy, transbronchial needle aspiration and bronchial washings (BWs) are some of the procedures that can be performed during FB. FB has become the procedure of choice in diagnosis and treatment of a number of pulmonary disorders with rare complications . Relatively few studies discuss the specific influences of age on FB but suggest that advanced age alone neither requires major modification of the approach nor introduces unacceptable adverse events .…”

Safety of interventional bronchoscopy through complication review at a cancer center

“…The contraindications to bronchoscopy mostly related to the potential for bleeding, tachycardia, hypoxemia or bronchospasm, and were mostly based upon clinical experience . In patient 1, even though the bronchoscopy was performed gently after correction for the thrombocytopenia, there was still a small yet inevitable baseline bleeding rate more related to technical rather than hemostatic issues.…”

Interventional Approach on Lung Abscess

“…Clinical improvement may be observed within 3-4 days of treatment and complete improvement takes sample but also to proceed with endoscopic drainage procedure. 16 Endoscopic procedure is also currently recognized as indication for patient with lung abscess located away from the pleura and pose a high risk for percutaneous drainage. 17 A drainage endoscopy procedure is performed using a bronchoscope to identify the segment of the bronchus where the abscess cavities are located.…”