This article gives a broad overview of the increasingly important applicati
ons of bronchoscopy, flexible (FOB) and rigid (RB), in a modern medical int
ensive care unit. Special emphasis is made to bronchoscopy use in mechanica
lly ventilated patients. Therapies such as endobronchial stenting and Nd:YA
G laser are being used to improve respiratory failure and facilitate weanin
g from mechanical ventilation. Practical applications of recent advancement
s in technology (endobronchial stenting, laser therapy and so forth), the i
ncreasing use of rigid bronchoscopy, and the new generation of flexible bro
nchoscopes like battery bronchoscopes, and ultrathin bronchoscopes, are als
o discussed. The risks, potential benefits, complications, and suggested te
chnique of performing bronchoscopy in mechanically ventilated patients are
reviewed.