Subject(s)
Bronchoscopy/standards , Lung Diseases/diagnosis , Adult , Arrhythmias, Cardiac/etiology , Bronchoscopy/adverse effects , Bronchoscopy/methods , Conscious Sedation/methods , Disinfection/methods , Disinfection/standards , Evidence-Based Medicine/methods , Hemorrhage/etiology , Humans , Hypoxia/diagnosis , Hypoxia/etiology , Intensive Care Units/standards , Pneumothorax/etiologyABSTRACT
Flexible bronchoscopy is an essential, established and expanding tool in respiratory medicine. Its practice, however, needs to be safe, effective and for the right indications to maximise clinical utility. This guideline is based on the best available evidence and is a revised update of the British Thoracic Society guideline on diagnostic flexible bronchoscopy.
Subject(s)
Bronchoscopy/standards , Practice Guidelines as Topic , Societies, Medical , Thoracic Diseases/diagnosis , Adult , Humans , United KingdomABSTRACT
This new guideline covers the rapidly advancing field of interventional bronchoscopy using flexible bronchoscopy. It includes the use of more complex diagnostic procedures such as endobronchial ultrasound, interventions for the relief of central airway obstruction due to malignancy and the recent development of endobronchial therapies for chronic obstructive pulmonary disease and asthma. The guideline aims to help all those who undertake flexible bronchoscopy to understand more about this important area. It also aims to inform respiratory physicians and other specialists dealing with lung cancer of the procedures possible in the management and palliation of central airway obstruction. The guideline covers transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration, electrocautery/diathermy, argon plasma coagulation and thermal laser, cryotherapy, cryoextraction, photodynamic therapy, brachytherapy, tracheobronchial stenting, electromagnetic navigation bronchoscopy, endobronchial valves for emphysema and bronchial thermoplasty for asthma.
