Overview
Flexible bronchoscopy allows direct visualisation of the upper and central airways using a thin, flexible endoscope passed through the nose or mouth. It is one of the key tools in interventional pulmonology.
When is it recommended?
- Persistent or unexplained lung shadows on imaging
- Suspected lung or airway infection
- Haemoptysis (blood in sputum)
- Suspected airway obstruction or abnormality
- Lung masses or selected nodules
- Persistent collapse of a lung segment
- Evaluation of selected patients with tuberculosis or ILD
What to Expect
- 1
Clinical Evaluation
Thorough clinical assessment and review of imaging before any procedure is performed.
- 2
Preparation
You will need to fast from midnight before the procedure. Arrange transport home as you cannot drive after sedation. Follow specific pre-procedure instructions from the clinic. Inform the team of all medications and allergies.
- 3
The Procedure
The procedure is performed under sedation and local anaesthesia. A thin flexible camera is passed through the nose or mouth into the trachea and bronchi. Samples may be taken during the procedure including washings, biopsies or brushings depending on the indication.
- 4
Recovery
You will be monitored for approximately 2-4 hours after the procedure. You may have a mild sore throat and cough. You should not drive or operate machinery for 24 hours after sedation.
- 5
After the Procedure
Rest for the remainder of the day. Avoid heavy meals immediately after. Report any significant bleeding, breathing difficulty or fever to the clinic.
