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Interventional bronchoscopy has evolved from simple office based bronchoscopies done under local anaesthesia or conscious sedation to state of the art bronchoscopy suite based practice equipped for complex interventions requiring intense monitoring and general anaesthesia. New advances in the field of anaesthesiology such as the laryngeal mask airway, short-acting anaesthetics with minimal effect on respiratory function and mechanical jet ventilators are well suited for interventional bronchoscopy procedures.