Most bronchoscopy, mediastinoscopy and FNA patient are for assessment with a view to lung resection (see below). They will need further assessment investigations such as PFT's, CT scan and cardiopulmonary treadmill. Most will also be for anaesthetic assessment.

Similarly many patients for oesophagoscopy will also be for assessment for oesophagectomy or hiatus hernia repair (see below)

Bronchoscopy

1. •FBP - within last month unless intervening illness
   

2. •U&E - within last month unless intervening illness
   

3. •CXR - should be within last 24 hours. If there is no RVH film get one done for our records.
   

4. •ECG - within last month
   

Oesophagoscopy

1. •FBP - within last month unless intervening illness
   

2. •U&E - within last month unless intervening illness or dysphagia when U&E should be within 48 hours
   

3. •CXR - within two weeks or within last 24 hours for complete dysphagia or suspected aspiration
   

4. •ECG - within last six months
   

5. •Barium Swallow - all patients with dysphagia or stricture must have a current barium meal (within six weeks) in theatre at the time of dilatation. Chronic patients may be excepted though they should be reviewed every few years or in the case of new symptoms.
   

6. •Patients for dilatation, laser, Atkinson tube or stent to be on clear fluid diet from admission.
   

7. •Complete dysphagia - patients with complete dysphagia to be on nil by mouth from admission and will therefore need IV fluids. This decreases the probability of food residue in the oesophagus.