Flexible bronchoscopy in adults: Indications and contraindications
- Shaheen Islam, MD, MPH, FCCP
Shaheen Islam, MD, MPH, FCCP
- Ohio State University Medical Center
Flexible bronchoscopy is a procedure that visualizes the lumen and mucosa of the trachea, proximal airways, and segmental airways to the third generation of branching. It can be used to diagnose or treat abnormalities within or adjacent to these airways.
The indications and contraindications of flexible bronchoscopy are discussed in this topic. The equipment, procedure and complications of flexible, fluorescence, and rigid bronchoscopy as well as endobronchial ultrasound and transbronchial needle aspiration techniques are discussed in detail elsewhere. (See "Flexible bronchoscopy in adults: Overview" and "Flexible bronchoscopy balloon dilation" and "Fluorescence bronchoscopy" and "Bronchoscopic laser in the management of airway disease in adults" and "Rigid bronchoscopy: Instrumentation" and "Transbronchial needle aspiration" and "Endobronchial ultrasound: Indications, contraindications, and complications".)
Flexible bronchoscopy is indicated for diagnostic or therapeutic reasons. These are discussed in the followings sections. Guidelines on the indications and contraindications of flexible bronchoscopy can be found at the British Thoracic Society.
Diagnostic indications — There are several diagnostic indications for flexible bronchoscopy. Following is a discussion of the common indications (table 1):
●Evaluation of pneumonia or infiltrate of unclear etiology – Flexible bronchoscopy can obtain specimens as part of the evaluation for an infectious, opportunistic, or alternative etiology.
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