Clinical Myths & Evidence-based MedicineRole of Bronchoscopy in AtelectasisOgake, Stella MD; Bellinger, Christina MDAuthor Information Department of Internal Medicine, Division of Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston Salem, NC Disclosure: The authors declare that they have no conflicts of interest. Address correspondence to: Stella Ogake, MD, Division of Pulmonary and Critical Care Medicine, Medical Center Boulevard, Winston Salem, NC 27157. E-mail: email@example.com. Clinical Pulmonary Medicine: January 2020 - Volume 27 - Issue 1 - p 30-32 doi: 10.1097/CPM.0000000000000348 Buy Metrics Abstract Atelectasis is one of the most commonly encountered abnormalities in chest radiology and remains a daily diagnostic challenge. At times, atelectasis can be overlooked, particularly when pulmonary opacification is minimal or absent, and, at other times, it might be interpreted as being some other form of intrathoracic pathology, particularly pneumonia. Concern over prolonged atelectasis is that it may worsen hypoxemia through shunting and may predispose the patient to nosocomial pneumonia. Traditionally, the treatment of atelectasis has focused on suctioning with adjuncts such as chest physiotherapy, kinetic beds, therapy with mucolytic agents, mechanical vibration therapy delivered through hand-held devices, and vests. Bronchoscopy is typically reserved to be a last-ditch effort in the management of atelectasis. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.