My routine post bronchoscopy management consists of the following:
Vital Signs: It is a good idea to observe the patient following the bronchoscopy. I do not keep the patient under observation for longer than a half an our following a routine bronchoscopy. If a transbronchial lung biopsy was done, the period of observation should be two hours.
I don't obtain a routine chest x-ray following a bronchoscopy. However, it is important to get a chest x-ray following a transbronchial biopsy to rule out pneumothorax. This complication does not occur following a routine bronchoscopy.
I always give the following instructions to my patients:
Post Bronchoscopy Sputum:
Some physicians routinely collect post bronchoscopy sputum for cytology. While it seems logical, a retrospective study failed to confirm its utility.