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Bronchoscopy is the endoscopy of airway used in evaluation as well as treatment of bronchopulmonary diseases. The various types being offered in Respiratory Medicine, CMC Vellore include rigid bronchoscopy, flexible bronchoscopy and endobronchial ultrasound. We have state of the art bronchoscopy suites with separate patient preparation and Recovery rooms. We do bronchoscopy under conscious sedation and effective local anaesthesia with various preparations of lignocaine. Rigid bronchoscopy is undertaken in operation theatre under general anaesthesia for advanced airway procedures. We use bronchoscopy for-
Diagnostic Purposes:
  1. Evaluation of the aetiology of Pneumonia: Here samples are collected with bronchoalveolar lavage (BAL) or with bronchial washings.
  2. Lung masses or nodules: We use Bronchoscopy in evaluation of large central parenchymal masses which are discovered on chest imaging. Samples are obtained by washing, brushing, BAL or biopsy. Biopsies carried out are transbronchial lung biopsy(TBLB), Bronchial biopsies and state of the art Cryobiopsies.
  3. Mediastinal masses: Samples from enlarged mediastinal lymph nodes or masses can be taken using Transbronchial needle aspiration(TBNA) done through flexible bronchoscope. We have less invasive method of staging and diagnosis of lung cancer via an endobronchial US guided mapping of lymph nodes and TBNA.
  4. Airway obstruction: We use flexible bronchoscopy in confirming obstruction of airway, assessing the patency and identifying the cause of obstruction. Distal airways beyond a high degree of obstruction can be examined without critically compromising the ventilation using our ultrathin bronchoscopes.
  5. Evaluation of haemoptysis: Flexible bronchoscopy helps in identification and localisation of the cause of bleeding thus directs the therapy.
  6. Stridor evaluation: Bronchoscopy is used to look for any vocal cord lesion or tracheal stenosis in patients with stridor. It identifies the location and length of tracheal stenosis.
  7. Post lung transplant evaluation: For evaluation of transplant rejection and its severity and ruling out opportunistic infection.
  8. Inhalational injury and Chest trauma: It is used in the assessment of extent of inhalational injury
  9. Tracheobronchomalacia: Fixed CPAP titration for airway opening.
Therapeutic Purposes:
  • Impacted mucus
  • Removal of foreign body
  • Guided endotracheal intubation in difficult airway
  • In treatment of endobronchial lesions: Various methods like electrocoagulation and cryotherapy is provided here.
  • Balloon dilatation for airway stenosis
  • Silicon and metallic stenting in cases of stenosed airway especially in malignancies compromising the airway
Respiratory Medicine Dept
CMC Vellore

Christian Medical College

Ida Scudder Road,

Vellore – 632004

Tamil Nadu, India

Contact Info

Dept office number: 0416 2282859
Working hours:
Mon – Fri: 8 am to 4.30 pm
Sat: 8 am to 12.30 pm

OPD Timing:
Wed: 8.00 am – 4.30 pm
Fri: 8.00 am – 4.30 pm
Sat: 8.00 am – 12.30 pm

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