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Name of Media:

BTS Guideline for diagnostic flexible bronchoscopy in adults


IA Du Rand, J Blaikley, R Booton, N Chaudhuri, V Gupta, S Khalid, S Mandal, J Martin, J Mills, N Navani, NM Rahman, JM Wrightson, M Munavvar

Publisher or Source:


Type of Media:

Medical Journal

Media Originally for:

Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

United Kingdom of Great Britain and Northern Ireland (the)

Primary Focus of Media:

Pre-Use of PICS Designation

COVID-19 Related:



This guideline was formulated following consultation with stakeholders from the medical and nursing professions, patient groups and healthcare management. Basic diagnostic procedures in adults using a flexible bronchoscope are included in the guideline.  
Topics covered in the guideline:
Monitoring of a patient during the procedure.
Specific precautions, contraindications and complications.
Sedation, premedication and topical anaesthesia.
FB in specific patient groups.
Role of bronchoscopy in infections.
FB in the ICU.
Cleaning and disinfection of equipment.
Staffing and staff safety.
Diagnostic accuracy and specific procedures.
Patient satisfaction and patient care.  
Topics not covered in the guideline
Training in bronchoscopy (The BTS is producing separate guidance on training).
Advanced diagnostic and therapeutic FB.3 Rigid bronchoscopy.
FB used for intubation, percutaneous tracheostomy placements and intraoperative complications.
Paediatric FB.
FB performed under general anaesthetic.

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