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Performed by Dr. Manish Aggarwal, Principal Director, Department of Chest Disease & Interventional Pulmonology, Max Hospital — with 24+ years of experience and 10,000+ bronchoscopies performed. Access elite interventional care utilizing advanced diagnostic pathways to accurately address complex lung masses, chronic infections, and persistent airway conditions.
A bronchoscopy is a specialized interventional procedure that allows direct visualization of the trachea, main bronchi, and sub-segmental airway structures. Utilizing an ultra-thin, flexible bronchoscope equipped with high-resolution digital imaging, we can identify mucosal abnormalities, clear complex obstructions, and harvest precise tissue samples.
As the Principal Director of Chest Disease & Interventional Pulmonology at Max Hospital, Dr. Manish Aggarwal brings unparalleled clinical expertise to Delhi. His extensive background spans decades of managing critical airway pathologies, rigid stenting, cryobiopsies, and advanced oncology staging using Endobronchial Ultrasound (EBUS).
His global medical experience includes years within top-tier UK NHS hospital networks—including Lister Hospital, Norfolk & Norwich University Hospital, and Great Western Hospital. This background guarantees that your procedure follows the absolute highest international standards of safety and diagnostic accuracy.
This interventional technique is indicated to evaluate abnormal radiological findings or manage structural airway disorders:
Targeting suspicious pulmonary masses, lung nodules, or performing EBUS-guided needle aspirations for accurate lymph node staging.
Rapidly localizing and managing active sources of endobronchial bleeding or addressing chronic blood-streaked sputum.
Gathering clean bronchoalveolar lavage samples to diagnose non-resolving pneumonias, atypical mycobacteria, and drug-resistant TB.
Performing advanced cryobiopsies to obtain large, intact parenchymal samples for precise differential diagnosis of lung fibrosis.
Managing malignant strictures or benign scarring through mechanical debulking, tumor ablation, and airway stent placement.
Emergency removal of aspirated foreign objects, mucous plugs, or cellular debris obstructing segments of the lung.
Performed under light conscious sedation with targeted local anesthetic sprays; ideal for routine structural inspections and dynamic fluid collections.
Utilizes a specialized hollow metal tube under general anesthesia. Essential for complex therapeutic interventions, massive bleeding control, and stenting.
Combines endoscopy with real-time ultrasound imaging to safely map, view, and sample mediastinal structures lying outside the airway walls.
An advanced freezing technique used to retrieve premium, artifact-free tissue blocks, drastically reducing the need for open lung surgeries.
Following clinical pre-op protocols helps optimize your airway conditions and ensures a smooth recovery:
• Strict Fasting: Maintain complete fasting (nil per os) for 6 to 8 hours prior to your scheduled procedure time.
• Medication Mapping: Disclose all current prescriptions. Antiplatelet medications or blood thinners must be safely paused under our guidance.
• Allergy Profiles: Inform our team of any known sensitivities to local anesthetics, sedatives, latex, or surgical prep solutions.
• Discharge Management: You must arrange for a family member or designated caregiver to drive you home following your time in recovery.
Anesthesia and Comfort: The throat is thoroughly numbed using a topical lidocaine spray. Intravenous sedation is administered to ensure you remain completely relaxed and comfortable.
Procedural Timeline: Scope navigation, diagnostic viewing, and targeted sample collection are usually completed within 30 to 60 minutes inside our interventional suite.
Continuous Monitoring: Advanced metrics—including blood pressure trends, $SpO_2$ levels, and ECG rhythms—are tracked by dedicated nursing staff throughout the entire procedure.
While advanced bronchoscopy is highly safe and routine, understanding post-op expectations ensures a secure recovery path:
You will rest in our recovery bay for 1 to 2 hours until the sedative completely wears off. To prevent aspiration, do not eat or drink until your throat reflex returns fully, which typically takes about an hour. A mild cough, hoarseness, or minor blood-tinged sputum are normal reactions that clear up quickly.
Complications like a minor lung leak (pneumothorax) or prolonged bleeding are rare. Contact our clinic immediately if you experience severe chest pain, sudden difficulty breathing, a high fever, or persistent bright red blood in your cough.
We prioritize clear communication. We encourage you to review these key points with Dr. Manish Aggarwal prior to your scheduled procedure:
Yes. Dr. Manish Aggarwal has extensive specialization in interventional pulmonology, having personally performed over 10,000 bronchoscopies. His practice spans advanced flexible, rigid, and EBUS-guided diagnostic and therapeutic interventions at Max Hospital and his specialized clinic.
Yes. Bronchoscopy is highly valuable for diagnosing pulmonary tuberculosis, especially when traditional sputum induction yields inconclusive results. It enables precise bronchoalveolar lavage (BAL) collection to test for active acid-fast bacilli (AFB) and identify drug-resistant strains (MDR-TB).
Endobronchial Ultrasound (EBUS) is clinically indicated for staging lung cancer, evaluating mediastinal or hilar lymphadenopathy, and obtaining targeted tissue samples to diagnose inflammatory conditions like sarcoidosis or specialized deep thoracic infections.
Discomfort is kept to a minimum. The procedure is performed under local airway anesthesia combined with deep conscious sedation, ensuring you remain comfortable throughout. Rigid bronchoscopies are performed entirely under general anesthesia. Mild throat soreness or hoarseness is normal for 24 to 48 hours afterward.
Visual findings and anatomical observations are discussed immediately following the procedure. Fluid cultures and standard histopathology tissue biopsies typically take 3 to 5 business days to process fully.
We are available to answer queries, schedule urgent EBUS sessions or arrange Sleep diagnostic devices.
Don't wait for respiratory symptoms to worsen. Get evaluated by Dr. Manish Aggarwal — Delhi's leading interventional pulmonologist with 10,000+ bronchoscopies performed.
📍 Clinic Address: JU-12A, Block G&JU, Ranikhet, Pitampura, Delhi, 110034
📞 Call Clinic Desk: +91 9899554095 | ✉️ Email: Aggarmanish@gmail.com