Flexible Bronchoscopy Instructions

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Flexible Bronchoscopy Instructions

• Pulmonary Diagnostics And Procedures
• UCI Medical Center

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Flexible Bronchoscopy

• Flexible bronchoscopy is a procedure used to
  examine the tracheobronchial tree in order to
  inspect the secretions, obtain specimens to
  detect windpipe and bronchial tubes, remove
  airway infections and other illnesses, or treat
  patients with airway obstruction.
• Procedures are performed in the outpatient
  procedure suite using topical anesthesia and
  intravenous sedation.

Olympus 2005
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Prior to the Procedure

• Prior to the procedure, you will have an
• appointment with your physician during which
• a physical examination will be performed and
• additional tests may be ordered as warranted.
• Some of these tests may be performed on the
• morning of your procedure.

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Pre Procedure Tests
Tests may include Electrocardiogram
(EKG) Pulmonary Function Tests Chest X-ray or CT
Scan Blood Tests
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Our Team

• Our medical staff
• will provide you
• with a detailed description of the procedure,
  answer your questions, and
• ask you to sign an informed consent form.

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Very Important!

• DONT EAT, DRINK OR SMOKE AFTER MIDNIGHT THE
  NIGHT BEFORE YOUR PROCEDURE.
• YOU SHOULD, HOWEVER, TAKE PRESCRIBED MEDICATIONS
  WITH SIPS OF WATER.
• PLEASE ARRIVE 1 HOUR PRIOR TO
• YOUR PROCEDURE START TIME
• BECAUSE OF THE SEDATION, FOR YOUR SAFETY AND AS
  REQUIRED BY LAW, YOU MUST HAVE A RESPONSIBLE,
  CARING ADULT TO DRIVE YOU HOME.

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Location

• University of California Irvine Medical Center
• 101 The City Drive
• Orange, CA 92868
• Hospital Operator
• [phone]
• We are very close to Angel Stadium where I-5, the
  22 and 57 meet
• Exit 1-5 at The City Drive
• Turn West toward the ocean
• and then left on Medical Center Drive

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Directions

• Please report to Radiology,
• Registration, Basement of
• Building 1A.
• Discounted validated Valet parking is available.
• Bring your parking ticket to the receptionist for
  validation.

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Before the Procedure

• Before the procedure, you will be asked to wear a
  hospital gown.
• An intravenous catheter will be inserted.
• Inform the nurse of any allergies you may have,
• and which medications you are taking.
• Bring a list of your current medications with
  dosages.

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During the Procedure

• During the procedure, monitors will be placed to
• measure your blood pressure, heart rate, and
• oxygen saturation.
• Sedation Medication (Midazalom/Versed) will be
  administered intravenously to make you
  comfortable for the procedure.
• A topical anesthetic (Lidocaine) will be applied
  into your nostrils and spritzed into the back of
  your throat. This may give you the sensation
  that it is hard to swallow or that you have a
  lump in your throat.

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The Bronchoscopy

• An oxygen catheter or mask will then be placed
  on your nose or mouth. The physician will gently
  insert the flexible bronchoscope into your
  nostril or mouth, after which additional
  anesthetic will be administered.

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Relax!

• Although you may cough or feel a temporary
  choking sensation, you will always be able to
  breathe comfortably.
• Someone will be at your side at all times
  explaining each step of the procedure.
• Occasionally, brushing or biopsy specimens are
  taken for microscopic examination.
• Dont worry, you will not feel any pain or
  discomfort when this is done.
• Procedures take about 30 minutes to complete.

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After the Procedure

• After the procedure, you will recuperate in the
  procedure room or Post Anesthesia Care Unit
  (PACU) until fully awake, alert, and clinically
  stable.

• You will be wearing an oxygen mask over your nose
  and mouth.
• The monitors will be on your arm and finger.
• You may need a chest radiograph or bronchodilator
  breathing treatment.
• You should not eat or drink anything for at least
  two hours after the procedure because your throat
  and vocal cords have been anesthetized.

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Discharge

• Discharge from the hospital or procedural area
  will occur when you are stable and feeling well.
• Again, for your safety and as required by state
  law, you must have someone drive you home.
• Results and recommendations from the bronchoscopy
  will be mailed or faxed to you, your referring
  and primary care physicians.
• We will call you for a follow-up appointment if
  further care is necessary.

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Contact

• Call us at [phone] or speak to our staff
  at [phone]
• if you have any questions or if you experience
  any of the following
• Increased or new shortness of breath and
  difficulty breathing
• Increased or new chest pain
• Increased or new blood in your sputum when you
  cough
• Increased or new fever and chills
• Increased or new shortness of breath and
  difficulty breathing
• Increased or new chest pain
• Increased or new blood in your sputum when you
  cough
• Increased or new fever and chills
• After normal office hours, call the hospital
  operator at
• [phone] and ask to page the Pulmonary
  Fellow on call.

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Thank you

• For choosing UCI Medical Center for your care.
• The only Medical Center in Orange County
  designated as one of Americas Best Hospitals
  2001-2005
• Our Physicians, Best Doctors in America
• Honored as one of 100 Magnet Hospitals
• for excellence in Nursing