What is the primary role of the respiratory therapist during a flexible bronchoscopy procedure?

The primary role of the respiratory therapist during a flexible bronchoscopy procedure is to manage the patient's airway, ventilation, and oxygenation while assisting the physician with the procedure. Flexible bronchoscopy involves inserting a flexible fiberoptic scope through the nose or mouth into the airways to visualize the trachea, bronchi, and smaller airways. The respiratory therapist's responsibilities include: Monitoring the patient's vital signs (heart rate, blood pressure, oxygen saturation, respiratory rate) throughout the procedure to detect any signs of distress or complications. Administering oxygen or providing ventilatory support as needed to maintain adequate oxygenation and ventilation. This may involve adjusting oxygen flow rates, providing manual ventilation with a bag-valve mask, or managing the ventilator settings if the patient is mechanically ventilated. Preparing and administering medications, such as bronchodilators or local anesthetics, as prescribed by the physician. Assisting with obtaining specimens, such as bronchoalveolar lavage (BAL) fluid, bronchial washings, or tissue biopsies, by preparing the necessary equipment and handling the specimens appropriately. Ensuring patient comfort and safety by positioning the patient appropriately, monitoring for any adverse reactions to medications, and providing emotional support. Troubleshooting any equipment-related issues that may arise during the procedure, such as scope malfunctions or oxygen delivery problems. In summary, the respiratory therapist plays a crucial role in ensuring patient safety and comfort during flexible bronchoscopy by managing the airway, ventilation, and oxygenation while assisting the physician with the diagnostic and therapeutic aspects of the procedure.