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Guideline update
Summary of the British Thoracic Society Guidelines for advanced diagnostic and therapeutic flexible bronchoscopy in adults
  1. I A Du Rand1,
  2. P V Barber2,
  3. J Goldring3,
  4. R A Lewis4,
  5. S Mandal5,
  6. M Munavvar6,
  7. R C Rintoul7,
  8. P L Shah8,
  9. S Singh9,
  10. M G Slade7,
  11. A Woolley4,
  12. BTS Interventional Bronchoscopy Guideline Group
  1. 1Queen Elizabeth Hospital, Birmingham, UK
  2. 2NorthWest Lung Centre, University Hospital of South Manchester, UK
  3. 3Royal Free Hospital, London, UK
  4. 4Worcester Royal Hospital, Worcester, UK
  5. 5Lane Fox Unit, St Thomas' Hospital, London, UK
  6. 6Lancashire Teaching Hospitals NHS Trust, Preston, UK
  7. 7Department of Thoracic Oncology, Papworth Hospital, Cambridge, UK
  8. 8Department of Respiratory Medicine at Royal Brompton Hospital, London, Chelsea and Westminster Hospital, and Imperial College, London, UK
  9. 9Chelsea and Westminster Hospital, London, UK
  1. Correspondence to Dr Ingrid A Du Rand, The British Thoracic Society, 17 Doughty Street, London WC1N 2PL, UK; ingrid.durand{at}


This new guideline covers the rapidly advancing field of interventional bronchoscopy using flexible bronchoscopy. It includes the use of more complex diagnostic procedures such as endobronchial ultrasound, interventions for the relief of central airway obstruction due to malignancy and the recent development of endobronchial therapies for chronic obstructive pulmonary disease and asthma. The guideline aims to help all those who undertake flexible bronchoscopy to understand more about this important area. It also aims to inform respiratory physicians and other specialists dealing with lung cancer of the procedures possible in the management and palliation of central airway obstruction. The guideline covers transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration, electrocautery/diathermy, argon plasma coagulation and thermal laser, cryotherapy, cryoextraction, photodynamic therapy, brachytherapy, tracheobronchial stenting, electromagnetic navigation bronchoscopy, endobronchial valves for emphysema and bronchial thermoplasty for asthma.

  • Bronchoscopy
  • COPD pathology
  • lung cancer
  • alveolar proteinosis
  • inhaler devices
  • palliative care
  • non invasive ventilation
  • respiratory muscles
  • sleep apnoea
  • alveolar cell cancer
  • lung cancer chemotherapy
  • massive haemoptysis
  • mesothelioma
  • non-small cell lung cancer
  • small cell lung cancer
  • ARDS
  • assisted ventilation
  • bacterial infection
  • respiratory infection
  • sarcoidosis

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  • Competing interests None. A declaration of interest is available in Appendix 1 of the guideline.

  • Provenance and peer review Not commissioned; internal and external peer review undertaken by the Standards of Care Committee of the British Thoracic Society.