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Dr. Stacey L. Peterson-Carmichael, MD is an anesthesiologist in Winston-Salem, NC specializing in anesthesiology, pediatric pulmonology, general pediatrics and pediatric critical care. She graduated from University of North Carolina at Chapel Hill School of Medicine in 2001 and has 25 years of experience. Dr. Stacey L. Peterson-Carmichael, MD is affiliated with Atrium Health Wake Forest Baptist.
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Bronchoscopy
Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.
In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:
For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.
During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.
Dr. Stacey L. Peterson-Carmichael, MD graduated from University of North Carolina at Chapel Hill School of Medicine in 2001. She completed residency at University of North Carolina (UNC) Affiliated Hospitals. She is certified by the Board certifications: American Board of Pediatrics, Pediatric Pulmonology and has a state license in North Carolina.
Medical School: University of North Carolina at Chapel Hill School of Medicine (2001)
Residency: University of North Carolina (UNC) Affiliated Hospitals (2004)
Board Certification: Board certifications: American Board of Pediatrics, Pediatric Pulmonology
Licensed In: North Carolina
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Dr. Stacey Peterson-Carmichael's areas of specialization are pediatric pulmonology, anesthesiology, and general pediatrics. In her practice, she is particularly interested in bronchoscopy. Dr. Peterson-Carmichael attended the University of North Carolina at Chapel Hill School of Medicine and subsequently trained at a hospital affiliated with the University of North Carolina (UNC) for residency. She is professionally affiliated with Atrium Health Wake Forest Baptist. She welcomes new patients at her office inWinston-Salem, NC as reported by Atrium Health Wake Forest Baptist.
