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Can bronchoscopy cause any damage?

I will have a bronchoscopy. Can bronchoscopy cause any damage?

2 Answers

Bronchoscopy is a medical procedure that involves inserting a thin, flexible tube called a bronchoscope into the airways to examine the lungs, obtain tissue samples, or perform other diagnostic or therapeutic tasks. While bronchoscopy is generally considered a safe and well-tolerated procedure, like any medical intervention, it does carry some risks, although they are relatively low. Here are some potential risks and considerations:

1. **Discomfort and Sore Throat:** It's common to experience a sore throat and mild discomfort in the throat and chest after the procedure. This typically resolves within a day or two.

2. **Bleeding:** There is a slight risk of minor bleeding, especially if a biopsy or other procedures are performed during bronchoscopy. However, significant bleeding is uncommon.

3. **Infection:** Although rare, there is a small risk of infection, particularly if a bronchoscope is not adequately sterilized or if a pre-existing lung infection is present.

4. **Pneumothorax:** In rare cases, bronchoscopy can lead to a pneumothorax, which is the accumulation of air in the space between the lung and the chest wall. This can cause chest pain and shortness of breath and may require treatment.

5. **Allergic Reactions:** Some individuals may be allergic to the medications or substances used during the procedure, which can lead to allergic reactions.

6. **Vasovagal Response:** Some people may experience a vasovagal response, which can cause fainting, low blood pressure, or a drop in heart rate. This is usually temporary and resolves on its own.

7. **Bronchospasm:** Bronchoscopy may trigger bronchospasm, especially in individuals with asthma or other pre-existing lung conditions. This can lead to wheezing and difficulty breathing but can typically be managed during the procedure.

It's important to discuss the procedure, including the potential risks and benefits, with your healthcare provider before undergoing bronchoscopy. Your provider will evaluate your specific situation, including your medical history and the reason for the procedure, to determine whether it is necessary and safe for you.

In most cases, the benefits of bronchoscopy in terms of diagnosis or treatment outweigh the potential risks. However, it's crucial to have open communication with your healthcare team, follow their pre- and post-procedure instructions, and report any unusual or concerning symptoms promptly. Your healthcare team is there to ensure your safety and well-being throughout the process.
Atelectasis does occure, that is, base of lung collapse.