The doctor can use the bronchoscope to examine the lungs and airways. In addition, the method helps in the treatment, for example, to extract viscous mucus. During lung reflection, the doctor introduces a bronchoscope into the airway via the mouth or nose. Modern bronchoscopes consist of a soft, flexible tube with a diameter of two to six millimeters. At the top of the tube sits a camera with the light source. This camera sends its images in real time to a monitor on which the doctor examines the patient’s airways.

In addition, the bronchoscope can inject and aspirate liquid and thereby perform a so-called bronchial lavage. In addition, very small pliers or brushes can be advanced through the tube and tissue samples taken. These biopsy specimens will be examined later by the doctor under a microscope. In addition, a miniature ultrasound head can image the environment of the airways.

For what reasons does the doctor perform a bronchoscopy?

A bronchoscopy may be necessary for both treatment and diagnosis, for example, if there is suspicion of lung cancer in the room or if treatment is to be scheduled for a known lung tumor. Doctors can also use this method to introduce radioactive substances into the lungs in order to irradiate tumors locally. Restrictions of the respiratory tract can be clarified by bronchoscopy. Similarly, the doctor can investigate reduced ventilation of partial areas of the lung, so-called atelectasis. With the lung reflection and bronchial lavage cells and germs can also be extracted from the lungs.

Doctors also use lung plasmas to look for and remove foreign bodies. In ventilated patients, the position of the breathing tube can also be corrected with it. In addition, secretions such as mucus plugs can be washed away with the bronchoscope and inserted so-called stents, which seemed to the airways from the inside and keep them open.

the-bronchoscope-to-examine-the-lungs

How is an examination with the bronchoscope going?

On the day of the examination, the patient comes sober. He receives a spray that stuns the throat and suppresses the gagging. Then, the patient is virtually always injected with a short narcotic into the vein, so that he feels nothing at all from the examination. If necessary, sedatives are also used.

The doctor introduces the bronchoscope through the mouth or nose into the trachea. Afterward, he examines the mucous membrane of the airways, which can be imagined as a “bronchial tree” with more and more ramifications. The doctor examines all bronchi to a maximum of the third or fourth diversion. This usually takes 10 to 15 minutes. The airways themselves are insensitive to pain.

If a bronchial lavage is needed, the doctor injects about 20-100 milliliters of sterile fluid into the lower respiratory tract and then sucks it off. It extracts bacteria and cells from the surface of the respiratory tract and subsequently examines them in the laboratory.

After the examination, the patient should abstain from eating and drinking for about two hours until the anesthetic of the throat has subsided. Otherwise, there is a risk of swallowing. If the patient has been given tranquilizers or anesthesia, they are not allowed to drive the same day.

What other types of bronchoscopy are there?

In addition to the lung reflection with a flexible tube, there is still the investigation with a rigid tube. This tube can, for example, better remove foreign matter from the lungs. Even if a tumor severely restricts the airways, rigid bronchoscopy has advantages. Sometimes the doctor can remove tumors directly using laser devices or argon bombers. Argon beamer is coagulation devices that transfer energy via argon gas and soil the tissue two to three millimeters deep. The doctor uses them to destroy tissue and stop bleeding. If he has to use stents to stretch a constriction, it works better with the rigid bronchoscope.

Is a bronchoscopy dangerous?

The bronchoscope may cause nosebleeds or sore throat with difficulty swallowing, hoarseness or coughing, and very rarely injure the larynx. Even short-term fever sometimes occurs afterwards, especially in lavages. Severe incidents are very rare in bronchoscopy.

Removing the tissue samples may cause slight bleeding. Therefore, one should expect in the first two days that you abhustet blood to a small extent. Every now and then, the bleeding is so severe that they have to be breastfed by the endoscope.

In some cases, injury to the alveoli causes the lungs to leak and form a so-called pneumothorax. This means that air flows into space between the lungs and the surrounding lung cavity and causes the feeling of being short of air. Then, if necessary, the application of a chest tube is necessary: This plastic tube through the chest wall conveys the infiltrated air to the outside.

bronchoscope-to-examine-the-lungs

Possible exclusion reasons

Bronchoscopy can be problematic in generally very poor condition or serious comorbidities: If a heart failure or an acute

Everyone knows them and many have them – there is talk of a headache. Maybe right now when you’re reading, you’re literally blaring your skull. Or a slight pressure is spreading in the head that is uncomfortable and painful. The response of most sufferers is similar – they resort to known painkillers. However, this quick grip on medicines is not always your best bet. Why? The physicians distinguish several headache types – up to 200.

The reason for this large number is different distinguishing features or causes and symptoms of specific headache types. For example, headaches can be triggered by external stimuli, have a purely biological cause, are associated with illness or can also be caused by the intake of medication. Fact: Headache is not the same as headache.

Chronic or acute – when headaches torment us

You have probably also suffered from headaches over the past 12 months. This puts you in good company. According to a study, about 60 percent of the population in Germany suffer from headaches on a 12-month average. Women are much more affected. While the frequency varied between 50 and 55 percent in the male participants, it reached values between 65 percent and 70 percent among the female study participants. Particularly severe are the headache limitations for about five percent of the German population – suffering from a daily headache.

What are headaches but actually? In general, it is understood as meaning a pain sensation in the area of the skull, the meninges, the blood vessels as well as the brain and upper spinal nerves. Depending on the cause, it is referred to as a primary headache when the pain is the trigger of the condition. A secondary headache, on the other hand, is when the pain is caused by a disease or an organ condition (such as tumors).

And also with regard to appearance, the individual headache types differ. In some cases, they only appear acutely. Patients complain of discomfort for only a few hours to a few days. In contrast, a headache disorder can also occur chronically. Where exactly the dividing line lies differs from headache disease to headache disease. In a migraine and tension-type headache – the two most common clinical pictures – medics speak of chronic disease when the pain occurs on 15 days per month over a longer period (in tension-type headache over six months).

The different types of headache

Since headaches can be classified according to their origin in primary and secondary headache as well as the type of pain, a precise representation of the individual headache types is difficult. The most common and common types include tension-type headache and migraine. While the latter is described with recurrent attacks of pain, which may be accompanied by a pulsating and hemiplegic headache as well as photophobia, nausea, and vomiting, the tension-type headache is described as pulling-pushing and without the migraine-typical accompanying symptoms.

The so-called cluster headache (also known as Bing-Horton neuralgia) has repeatedly appeared in the media and medical literature over the past few years. Unlike the widespread tension-type headache, which manifests itself bilaterally, in the case of boring cluster headache, strong preference is given to one side of the head (in the area of the eye/temple). Patients also report extreme pain, which can begin shortly after falling asleep, in the morning or at lunchtime. Although the exact cause of a cluster headache is unclear, studies suggest hypothalamic involvement and activation of the trigeminal nerve. The latter is involved in a whole group of headaches – trigemino-autonomic headache disorders, which include not only cluster headaches but also SUNCT syndrome and paroxysmal hemicrania. Here is an overview of the most important headache types:

  • Tension headaches
  • Migraine
  • Cluster headache

Overview-Of-Headache-Types

In addition, modern medicine knows other types of headaches, such as:

  • Sexual headache (occurs more frequently in men during sexual intercourse)
  • Headache associated with the cervical spine
  • Headache