Felis ISSN 2398-2950

Bronchoscopy

Contributor(s): Philip Lhermette, Elise Robertson

Introduction

Uses

  • Evaluation of tracheal and lower airway disorders.
  • Acquiring airway samples (bronchoalveolar lavage Bronchoalveolar lavage) from lower airways.
  • Detection and retrieval of foreign bodies from the lower airways Trachea: foreign body Trachea: foreign body 01 - bronchoscopy .

Advantages

  • Bronchoscopy can find tracheal collapse Trachea: collapse that cannot be diagnosed by fluoroscopy.
  • Direct visualization of lower respiratory tract:

Disadvantages

  • Requires general anesthesia in respiratory compromised patients. Presence of endoscope further compromises respiration.
  • Equipment expense including maintenance.
  • One size does not suitable for all patients, ie large and giant breed dogs require longer insertion tube length to go beyond carina. Large diameter endoscopes unsuitable for smaller patients - diameter is more often the limiting factor than length.

Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Creevy K E (2009) Airway Evaluation and Flexible Endoscopic Procedures in Dogs and Cats: Laryngoscopy, Transtracheal Wash, Tracheobronchoscopy, and Bronchoalveolar Lavage. Vet Clin N Am Small Anim Pract 39 (5), 869-880 PubMed.

Other sources of information

  • Padrid P A (2011) Laryngoscopy and Tracheobronchoscopy of the Dog and Cat. In: Tams T R, Rawlings C A (eds) Small Animal Endoscopy, St Louis, Elsevier Mosby.
  • Levitan D, Kimmel S (2008) Flexible endoscopy: respiratory tract. In: Lhermette P, Sobel D (eds) BSAVA Manual of Canine and Feline Endoscopy and Endosurgery, Quedgeley, British Small Animal Veterinary Association.


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