British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults

Persistent Notes

Highlights

  • Bronchoscopy with lavage can be performed with platelet counts >20 000 per μL p.1
  • TBLB is helpful in lung transplant recipients when rejection is a possibility. p.2
  • No more than 5 mg midazolam should be initially drawn up p.2
  • should only be used when administered by practitioners formally trained in its administration (eg, anaesthetists) p.2
    • don’t use propofol
  • Nebulisation is not recommended as a technique for delivering lidocaine to the airways. p.2
  • 1% lidocaine solution should be used for spray-as-you-go administration. p.2
  • TBLB is recommended for the diagnosis of stage II–IV sarcoidosis. p.2
  • diffuse interstitial lung disease (ILD), five to six TBLBs should be taken from the same lung. p.2

Reference

Du Rand IA, Blaikley J, Booton R, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults. Thorax. 2013;68(Suppl 1):i1-i44. doi:10.1136/thoraxjnl-2013-203618