Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Bronchoscopy is a diagnostic procedure that visualizes the larynx, trachea, and bronchi.

Diagnostic bronchoscopy enables the visualization and assessment of tissues, analysis of secretions, and collection of biopsy samples.

Therapeutic bronchoscopy eliminates obstructions, manages bleeding, treats atelectasis, removes lesions, and administers brachytherapy.

Pre-procedure nursing responsibilities include explaining the procedure, obtaining consent, and keeping the patient NPO for 6 hours.

Post-procedure, nurses should monitor vital signs and keep the patient NPO until the cough reflex returns.

Next, thoracoscopy is a diagnostic procedure to examine the pleural cavity by inserting an endoscope through small incisions.

It helps evaluate pleural effusions and tumors and collects fluid and tissue samples for diagnosis.

A chest tube may be inserted post-procedure for re-expansion of the lung.

Pre-procedure nursing responsibilities include obtaining consent and keeping the patient NPO.

Postoperatively, nurses must monitor vital signs, check the incision site for bleeding or infection, and monitor the chest tube and drainage system.