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The recovery area used following bronchoscopy was listed as an area adjacent to the bronchoscopy suite by 56.5 percent (492) and as a separate area, such as an outpatient waiting area, the procedure room itself, or the emergency room, by 42.6 percent (371), 9.1 percent (79) reported using both of these settings. Comments: The British study reported that general anesthesia was used by 12 percent of the bronchoscopists surveyed. Our survey did not look into the use of topical anesthetics, although we surmise that most bronchoscopists use lidocaine. While an overwhelming majority of our survey respondents reported using supplemental oxygen during bronchoscopy, as recommended in several publications,’' only 18 percent of the British bronchoscopists surveyed routinely provided supplemental oxygen. Bronchoscopy Procedures A large number of questions were devoted to technical aspects of bronchoscopy and related procedures. The survey responses to several of these questions are summarized in Tables 5 and 6. Comments: Nearly 43 percent used both the nasal and the oral route, while one third used the nasal route exclusively (Table 5). Only 6.4 percent used the oral route only. Interestingly, several physicians who had routinely employed the nasal route wrote that, after using the oral route, they changed to the oral route. Table 5—Use of Oral or Nasal Bronchoscopy Route

Route	Respondents,  %(n)
Oral only	6.4 (56)
Nasal only	33.8 (294)
Both oral and nasal	42.6 (371)
No response	17.2 (150)
	100.0 (871)

Table 6—Responses Pertaining to Bronchoscopic Technique

Question	Routinely		Sometimes		Rarely		No Response
Do you use an endotracheal (oral or nasal) tube?t	6.7	(58)	13.7	(119)	78.2	(681)	1.5	(13)
Do you use BAL in a nonimmunocompromised patient?	24.0	(209)	16.9	(147)	57.6	(502)	1.5	(13)
Do you use BAL in an immunocompromised patient?	76.8	(669)	5.5	(48)	15.8	(138)	1.8	(16)
Do you use TBNA in malignant disease?t	11.8	(103)	29.2	(254)	49.4	(430)	9.6	(84)
Do you use TBNA in nonmalignant disease?§	2.3	(20)	3.7	(32)	82.5	(719)	11.5	(100)
Do you use fluoroscopy for TBLB?	75.3	(656)	6.4	(56)	11.0	(96)	7.2	(63)
Do you perform TBLB in a nonimmunocompromised patient?	68.8	(599)	20.3	(177)	8.8	(77)	2.1	(18)
Do you obtain a chest radiograph after TBLB?	79.0	(688)	3.6	(31)	9.9	(86)	7.6	(66)
Do you hospitalize a patient after TBLB?	12.1	(105)	6.7	(58)	72.8	(634)	8.5	(74)
Do you use frozen-section examination of biopsy specimens?||	2.6	(23)	1.5	(13)	72.9	(635)	1.5	(13)
Do you use videobronchoscopy?	13.8	(120)	0.0	(0)	73.8	(643)	12.4	(108)