Wednesday, July 15, 2020

Tree of life

The Bronchoscopy

Like the tree has a stem which divide multiple times in to branches to form twigs, our respiratory system has the main airway, the trachea, which further divides multiple times (bronchi) to form very small air pipes- the bronchioles. Like the leaves breathe for the tree, the alveoli breathe for us. Yet, something can go wrong in this harmonious natural system and we- the doctors, try to search for an answer for cure.

Fibre-optic bronchoscope is the device usually used by pulmonologists to look into the wilderness of our lungs. It is about as thin as a pencil, flexible with camera and fibre-optics allowing light to shine at the tip. There is also a hollow channel within that allows collecting specimen and passing various instruments.

Who requires a Bronchoscopy?

Mainly it is used for diagnosis of conditions which are persistent and unusual. For example, persistent cough, cough with blood or strange shadows on a chest x-ray.  A tissue sample thus taken is visualized under the microscope to help decide whether the problem is inflammation, infection or cancer.

It can also be used to treat certain conditions. With the help of different kinds of instruments we can remove foreign objects (inhaled peanut), put a small tube (stent) to open a closed airway due to cancerous growth within or remove thick secretions blocking the airway.

How is it done?

The procedure is usually a day case or outpatient. It is done under local anesthesia which numbs the inside of the nose and throat and under sedation which can make you drowsy but does not put you to complete sleep as in general anesthesia. However, in most of the situations, you are not likely to remember anything of the procedure. Heart rate and blood pressure is regularly monitored throughout the procedure. Depending on case to case basis the side effects vary and the procedure can last from 15 to 45 minutes.

Recently we conducted two successful bronchoscopies at Bahrain specialist hospital. Our first patient was a young 19 year old boy who presented to the hospital with ARDS (acute respiratory distress syndrome) a life threatening condition. After stabilizing the patient bronchoscopy was conducted and a fungal species called Penicilliumwas identified. Our second patient was an elderly gentleman of 74 years having multiple serious co-morbidities with recurrent fever and difficulty in collecting sputum for analysis. It excluded endobronchial neoplasia. Both the patients have been successfully treated and had smooth course of management.

MOST READ

Virtual FinTech Series focused on the importance of Employee Financial Wellness and its importance for businesses especially amidst Covid-19

Earlier last week, Andra Public Relations; a Bahrain based Public Relations firm kicked off their virtual FinTech Series 2020 Edition in partnership with Brinc...

Innovative Virtual Fashion Show to be organized by Medpoint

Medpoint Design and Events Management is hosting the first of its kind Global Women’s Virtual Fashion Forum & Show which will highlight topics that...

GoPro now lets you transform the Hero 8 into a webcam

You might not be getting much use out of GoPro’s outdoor action cameras during the coronavirus pandemic, so GoPro is making it a lot...

Plus Rental Buys 10 Nissan Urvan 3 Seater Vans for Aramex

Y.K. Almoayyed & Sons, the sole distributor of Nissan vehicles in the Kingdom of Bahrain is proud to have hosted a special delivery ceremony...

National Taskforce for Combating Coronavirus highlights measures taken to mitigate the spread of COVID-19

The National Taskforce for Combating Coronavirus (COVID-19) held a press conference at the Crown Prince Centre for Training and Medical Research at the Bahrain...

INJAZ Bahrain concludes its 12th annual Young Entrepreneurs Competition in a virtual ceremony

INJAZ Bahrain has successfully concluded this year’s version of its annual Young Entrepreneurs competition, which was held online for the first time ever on...

A single mobile app for your Electricity & Water (EWA) services

Hand-in-hand with the Information & eGovernment Authority, the Electricity & Water Authority (EWA) provides its services to cater to public’s regular needs making demanded...

Lulu Hypermarket Welcomes Shoppers to Expanded Dana Mall Store

Lulu Hypermarket’s Dana Mall flagship store has expanded to serve up a whole new shopping experience for eager Bahrain shoppers. Now 40% much large,...

Building The Strong Pillars of the Kingdom’s Economy: Interview with Mr. Farouk Yousuf Almoayyed

Established in 1940, at the start of World War II, Y. K. Almoayyed & Sons is the result of late Mr. Yousuf Khalil Almoayyed’s...

Ministry of Health: Incoming passengers required mandatory COVID-19 testing

The Ministry of Health announced that all travellers arriving into Bahrain International Airport from 12:00 am on Tuesday, July 21st, 2020, will be required...

BRAVE CF back to representing Bahrain on the global stage

BRAVE Combat Federation, a product of His Highness Shaikh Khaled bin Hamad Al Khalifa's vision, is back to holding events across the world, taking...

stc Bahrain pioneers ahead in 5G technology

stc Bahrain, a world class digital enabler, announced the launch of the Kingdom’s first integrated large-scale indoor 5G commercial deployment, setting a new benchmark...

Bahraini artists to create sculptures for new Passenger Terminal Building

Minister of Transportation and Telecommunications and Bahrain Airport Company (BAC) Chairman, Kamal bin Ahmed Mohammed, paid a visit to the Bahrain International Airport Marble...

Batelco to Launch “Global Zone Kuwait” in Partnership with Ooredoo Kuwait

Batelco, the leading digital solutions provider in Bahrain has announced the establishment of “Global Zone Kuwait”, which will offer an ecosystem platform to further...

WHO supports HRH Premier’s award for distinguished doctors

His Royal Highness Prime Minister Prince Khalifa bin Salman Al Khalifa has received a letter from the World Health Organization (WHO) Director-General, Dr Tedros...