Munson Health
 
Navigational Bronchoscopy

Back to Document

by Jones P

(Electromagnetic Navigational Bronchoscopy)

 

What to Expect

Prior to Procedure

Your doctor may do some or all of the following:
  • Physical exam
  • Blood tests
Talk to your doctor about your current medications. You may be asked to stop taking some medications up to one week before the procedure, like:
  • Anti-inflammatory drugs
  • Blood thinners
  • Antiplatelets
Leading up to your procedure:
  • Arrange for a ride to and from the medical center.
  • Eat a light meal the night before. Do not eat or drink anything after midnight.

Anesthesia

Local anesthetic will be given to numb the throat. It will also help to prevent coughing and gagging. You may also be given medication to help you relax.
Sometimes, a bronchoscopy is done under general anesthesia. In this case, you will be asleep.

Description of the Procedure

A CT scan will be done. Images from the scan will be loaded into a special computer. The computer program will highlight were the problem areas are located. Your doctor will use this information to guide the scope.
You will be asked to lie on a special table.
The bronchoscope tube will be inserted through the mouth. It will then be passed down the throat and into the lungs. Special tools will be passed through the tube. One tool will have an electromagnetic sensor. This sensor will show the doctor exactly where it is in the lungs. The doctor will use the sensor and the CT scans to reach the appropriate area in the lungs.
A small sample of tissue may be taken from the area. The sample will be removed through the scope. Small metal markers may also be placed around the area. These markers will help with future treatment.
The tools and scope will be removed once the doctor is done.
Tissue samples will be sent to a lab. The tissue will be examined for cancer or infections.

How Long Will it Take?

Less than 1 hour

Will it Hurt?

Anesthesia prevents pain during the procedure. You may have some soreness in your throat and hoarseness for a few days after the procedure. Pain and discomfort after the procedure can be managed with medications.

Post-procedure Care

A chest x-ray may be taken before you go home.
You will feel sleepy after the procedure. Do not drive until your doctor says it is safe to do so.
When you return home, do the following to help ensure a smooth recovery:
  • Spit out saliva. Do not try to swallow it while your throat muscles are numb.
  • Do not eat or drink anything while your throat is numb. The numbness may last for about two hours.
  • When you are able to eat, start with sips of water. Progress to solid food when ready.
  • If you had a biopsy, try not to cough or clear your throat.
  • If you had to stop medications before the procedure, ask your doctor when you can start again.
  • Resume your normal diet, unless told otherwise by your doctor.
 

RESOURCES

American Lung Association
http://www.lung.org

American Thoracic Society
http://www.thoracic.org

 

CANADIAN RESOURCES

Canadian Lung Association
http://www.lung.ca

Health Canada
http://www.hc-sc.gc.ca

 

References


Edell E, Krier-Morrow D. Navigational bronchoscopy. Chest. 2010;137(2):450-454.


Electromagnetic navigational bronchoscopy. Alta Bates Summit Medical Center website. Available at: http://www.altabatessummit.org/technology/enb.html . Accessed September 19, 2013.


Explore Bronchoscopy. National Lung Heart and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/bron . Updated February 8, 2012. Accessed September 19, 2013.


Leong S, Ju H, et al. Electromagnetic navigation bronchoscopy: A descriptive analysis. J Thorac Dis. 2012;4(2):173-185.


Navigational bronchoscopy. Wellmont Health Systems website. Available at: http://www.wellmont.org/Medical-Services/Surgical-Services/Navigational-Bronchoscopy.aspx . Accessed September 19, 2013.


Navigational bronchoscopy. University of Louisville Medical Center website. Available at: http://www.university-hospital.org/programs-services/lung-services-at-university-of-louisville-hospitaljames-graham-brown-cancer-center/navigational-bronchoscopy . Accessed September 19, 2013.

 

Revision Information