Bronchoscopy

1. •Once awake may take clear fluids. Normal diet from the evening of the procedure if no nausea.
   

Oesophagoscopy

Scope only

1. •nil by mouth for 4 hours
   

2. •clear liquids on day of procedure
   

3. •if chest pain, pain on swallowing or fever suspect a perforation
   

Dilatation

1. •nil by mouth for 4 hours
   

2. •clear liquids on day of procedure
   

3. •if chest pain, pain on swallowing or fever suspect a perforation, arrange a Niopam swallow and commence treatment till perforation ruled out.
   

Laser

1. •nil by mouth for 4 hours
   

2. •clear liquids on day of procedure
   

3. •if chest pain, pain on swallowing or fever suspect a perforation
   

Stent

1. •nil by mouth for 4 hours
   

2. •clear liquids on day of procedure
   

3. •if chest pain, pain on swallowing or fever suspect a perforation
   

4. •Should be started on Nexium (dissolved) and regular Gaviscon for expected reflux due to the stent.
   

5. •Most stent patients need to be admitted to a hospital bed or returned to their hospital of origin for analgesia and social arrangements
   

Pulmonary cases

1. •On the day of surgery clear fluids may be commenced once the patient is fully awake, able to talk and able to coordinate swallowing. (If hoarseness suggests a recurrent laryngeal nerve palsy hold oral intake).
   

2. •If tolerating clear fluids postop, may commence soft diet the day following surgery.
   

3. •Diet may be advanced as tolerated thereafter.
   

4. 
   

Oesophageal Cases

1. •Hiatal hernia repairs may be able to start sips of water the day following surgery if nausea is not a problem. Advance as tolerated but usually go home on soft diet.
   

2. •Oesophagectomies should not have oral intake till cleared with consultant (usually after Niopam swallow on day 5-7 for Mr McGuigan's patients)