What is a Bronchoscopy?
Patients who received a lung transplant know too well what a Bronchoscopy. For those on the waiting list who has never had a. don't worry you will get to know. A Bronchoscopy which is usually made by a lung specialist (lung physician) and consists of a small camera at the end of a long narrow enough to fit through the respiratory tract probe. It can be inserted through the nose or mouth, and also through the breathing tube is that the patient is still on the machine of respiration (fan). All the way down, this device is inserted into the two lungs then that the patient under light sedation. The patient receives generally that some hospitals called "conscious sedation". That basically means that you wake up enough breath and gag but sleepy enough to think to what is happening is only a bad dream.
Indications after lung transplantation
Diagnosis
There are reasons mainly 2 doctors will Bronchoscopy after lung transplantation. The first reason is for diagnostic purposes, where the doctor may or may not suspect something wrong but needs to know. A Bronchoscopy is performed at regular intervals after the registry to see if the body is rejecting the lungs again. A rejection is a sign that the body accepts the organ and tries to get rid just as it was a bacterium. He needs immediate medical treatment once diagnosed. Biopsies will be taken in several different places in the lungs to find possible rejection. A biopsy is to remove a tiny bit of lung tissue and to transmit it to the laboratory microscope. Usually, the doctor will be repeating that 6 to 8 times to each Bronchoscopy according to how the patient tolerate and how it is bleeding. It takes approximately 24 hours for whether or not the lung biopsy showed a rejection.
Another reason for diagnostic to a bronch is when a patient shows signs of pulmonary infection and a culture must be carried out. By a culture, the lung specialist will be able to identify the bug (bacteria, viruses or fungi) that invaded new lung and treat accordingly. Unfortunately, many lung transplant is infected with "superbugs" that require powerful antibiotics because they have adapted and have become resistant to the weak such as Cipro Levaquin.
Therapeutic
The other objective of a Bronchoscopy was therapeutic intentions. In other words, this means treating a condition found in the lungs where the patient is struggling with complications of lung transplantation. The main ones that we see are accumulation of thick mucus that will sometimes block part of the lung. The doctor will use the scope and go and wash out real good. The actual term used for occlusion is a plug of mucus. Usually a patient feels better 100% once this issue is fixed.
A rare complication after lung transplant is called bronchial stenosis more. Stenosis means narrowing. Therefore bronchial stenosis means that bronchial became close and it is more difficult for air to pass through. This usually occurs in the place where the surgeon connected together the lung with the bronchi of patients. The scar tissue which forms makes it narrower air passage. That the condition is diagnosed during a Bronchoscopy and can be treated by 2 ways which are quite similar to what will be a cardiologist to clear blockages in heart. The first step is to use a balloon that is inflated to narrow to open location. If it opens and remains like that, it's good. If it closes back up, a stent may be deployed to keep open. Just as in your heart. The difference is that it is in the lung, not in the blood.
These are the main reasons Bronchoscopy are conducted on lung transplant patients. The number one thing that is always suspected early after transplantation regardless of whether the patient has no symptoms is rejection. This is why Bronchoscopy are executed so regularly, to catch them at the beginning.
Learn organ behind the scene as experienced by a transplant Coordinator.
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