The Interventional Bronchoscopy Service at The Mount Sinai Hospital supports all state-of-the-art diagnostic and therapeutic procedures necessary to care for patients with advanced pulmonary diseases. Our recently appointed bronchoscopy room provides a safe environment for routine and advanced bronchoscopic procedures for both inpatients and outpatients. To ensure comfort and safety during their procedure, bronchoscopy patients may receive moderate or deep sedation, or even general anesthesia if needed. Outpatients requiring bronchoscopy register and recover in our recently renovated Endoscopy Suite, which provides a pleasant waiting area for accompanying family members and friends.
Flexible bronchoscopy is a minimally invasive procedure that does not involve any surgical incision, thereby minimizing discomfort to the patient. Flexible bronchoscopes are employed in diagnosing and treating patients with pulmonary airway and lung disease, as well as patients with enlarged lymph nodes inside the chest. Nearly 500 flexible procedures are performed each year. We have a comprehensive variety of the latest high-quality video bronchoscopes and video monitors. Extensive experience in bronchoalveolar lavage, transbronchial biopsy, and transbronchial needle aspiration (also known as the Wang needle) provides for a high percentage of diagnostic success with a very low rate of potential complications. In certain cases, the diagnostic capabilities may be enhanced by using state-of-the-art technologies such as endobronchial ultrasound (EBUS), electromagnetic guidance (superDimension), virtual bronchoscopy guidance, or ultrathin bronchoscopy. The Pathology Department provides expert consultation in pulmonary pathology. The capability to combine these methods maximizes the potential of diagnostic bronchoscopy.
The flexible bronchoscope also can be employed therapeutically in the care of patients with airway obstruction due to a wide variety of causes. Removal of foreign bodies, endoscopic removal of obstructing airway tumor and placement of airway stents are performed routinely. The range of treatments currently available includes balloon dilation, electrocautery, argon plasma coagulation (APC), and stent placement. When necessary, the collaboration of the Departments of Cardiothoracic Surgery or Otolaryngology is readily available. This expands the use of other technologies including rigid bronchoscopy, YAG laser, brachytherapy, and photodynamic therapy.
Ongoing research projects in bronchoscopy include the investigation of bronchoscopic treatment of emphysema and a study of nonsurgical staging of lung cancer. We are part of a nation-wide emphysema treatment study investigating the use of one-way valves that are inserted into the lung by bronchoscopy. In conjunction with our gastrointestinal colleagues at Mount Sinai, we are conducting a study investigating the complete staging of lymph nodes in lung cancer by combined endobronchial and endoscopic ultrasound (EBUS and EUS) without surgery. In the very near future, anticipated research projects in bronchoscopy include the investigation of other emphysema treatments and treatment of asthma.
The Pulmonary, Critical Care and Sleep Medicine FPA is open from 8 A.M. to 4:30 P.M. Monday through Friday.