bronchoscopy
Pronunciation: BRON-ko-sko-pee
Diagnostic and therapeutic procedure using a flexible scope to visualize and access the airways in critically ill patients.
Full Definition
Bronchoscopy involves insertion of a flexible or rigid scope through the mouth or nose to examine the tracheobronchial tree. In surgical critical care, it's used for diagnostic purposes (suspected pneumonia, hemoptysis evaluation) and therapeutic interventions (mucus plug removal, foreign body extraction, bronchial toilet). The procedure can be performed at the bedside in mechanically ventilated patients, though it may temporarily worsen oxygenation and increase intracranial pressure in susceptible patients.
Usage
Usage note: Procedure involves scope insertion; distinguish from intubation which involves tube placement.
In Context
- "Flexible bronchoscopy revealed purulent secretions in the right lower lobe bronchus." — Pulmonology consultation
- "Therapeutic bronchoscopy successfully removed the aspirated food particles." — Procedure note