A Survey of Current Bronchoscopy Practices in Canada

Pierce, Cameron W.; Gjevre, John; Taylor-Gjevre, Regina M.

doi:10.1378/chest.11-0994

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…Almost all bronchoscopists in our study, except for a minority (10%) of thoracic surgeons, counseled their patients at least verbally before the procedure, and most across all specialties recommended more than 4 hours of fasting before bronchoscopy. This fasting duration is similar to what has been reported by members of the Canadian Thoracic Society and the surveys in UK and India 3,6,11. Intravenous access was established prior to bronchoscopy by almost all respondents in our study but by only 71.5% of respondents in the Italian survey.…”

Section: Discussionsupporting

confidence: 89%

“…This route of administration is discouraged because it requires special training and is invasive. Our findings in this regard are very similar to those of the Canadian survey, in which nebulized formulations were used by 65% of respondents and transcricoid injections by 40% 3. In our study, benzocaine was used as a topical anesthetic by 28.6% of intensivists and 4% of pulmonologists despite the recommendation against its use because of its narrow therapeutic window and potential to cause methemoglobinemia 14…”

Section: Discussionsupporting

confidence: 87%

“…In Switzerland, 77% of pulmonologists, and 70% in Germany, reported using propofol either as a single agent or in combination 8,21. In Canada, only 8% of bronchoscopists used propofol for bronchoscopy 3. These differences reflect country-specific differences in practice, training, and availability of propofol.…”

Section: Discussionmentioning

confidence: 99%

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Survey of flexible bronchoscopy practice in adults in Saudi Arabia

Aljohaney

Albanna

Alhajji

et al. 2019

SMJ

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Objectives: To assess current adherence to international guidelines for practitioners of bronchoscopy in the Kingdom of Saudi Arabia. Methods: A cross-sectional survey was conducted in Saudi Arabia between December 2016 and March 2017. Pulmonologists, thoracic surgeons, and intensivists were invited to answer an emailed self-administered questionnaire survey seeking information on how they performed flexible bronchoscopy in adults. The data collected were compared between the 3 specialties. Results: Eighty-two (18%) of 456 invited practitioners completed the survey. Fifty-eight (72%) of the 82 respondents were pulmonologists. Forty (53%) of 76 respondents (93%) who had received bronchoscopy training received it abroad. Twenty-seven respondents (33%) had also received training in endobronchial ultrasound, electrocautery, brachytherapy, stent insertion, and laser procedures. Fifty-eight respondents (70%) preferred patients to undergo fasting for at least 4 hours before the procedure. Lidocaine was used for topical anesthesia, mainly by aerosol spray or nebulization. Midazolam was used by 62%, fentanyl by 50%, and propofol by 12% of respondents. Ninety percent of pulmonologists reported requesting a chest radiograph after transbronchial lung biopsy. Safety procedures for bronchoscopists, for example, wearing masks and eye protection, and for patients, for example, availability of anesthetic reversal agents, were not universally applied. Conclusion: Bronchoscopy is not standardized in Saudi Arabia. National guidelines for the indications and practice of bronchoscopy are required.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

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Survey of flexible bronchoscopy practice in adults in Saudi Arabia

Aljohaney

Albanna

Alhajji

et al. 2019

SMJ

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A survey of pediatric flexible bronchoscopy in India

Jat

Agarwal

Lodha

et al. 2022

Pediatric Pulmonology

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Background: A bronchoscopy is an essential tool in pediatric pulmonology. However, the practices involved in the procedure are variable.Objective: To evaluate prevalent practices and variations in pediatric flexible bronchoscopy in India.Methods: An online survey was conducted via Google forms between September 2018 and March 2019. We circulated the survey among members of various respiratory societies and personal contacts. Physicians performing pediatric flexible bronchoscopy were requested to respond. The survey had 95 questions in seven domains: demographics, patient preparation, sedation, procedural aspects, monitoring, bronchoscope cleaning, and complications. Results:The survey received 24 complete responses; the respondents were from 14 cities. Pediatric bronchoscopy was done mainly for diagnostic purposes. Most (19, 79%) respondents reported using conscious sedation for the procedure. The preferred regimen for sedation was midazolam plus fentanyl [9 (37.5%)]. Atropine was used routinely by 4 (16%). For topical anesthesia, nebulized lignocaine only, both nebulized and spray as go lignocaine, and spray as go lignocaine only were used by 1 (4.2%), 6 (25%), and 17 (71%) respondents, respectively. The methods of providing oxygen during bronchoscopy were free flow (9, 37.5%), nasal prongs (8, 33.3%), mask (6, 25%), and laryngeal mask airway (1, 4.2%). The common therapeutic procedures included removal of mucus plugs (17, 71%), bronchoscopic intubation (11, 45%), and foreign body removal (10, 41%). The number of aliquots used by respondents for bronchoalveolar lavage varied from 2 to 6, and the volume for each aliquot was also varied (1-2 ml/kg or 5-10 ml). Almost all the respondents reported complication rates of less than 5%. Conclusion:There is a considerable variation in pediatric flexible bronchoscopy practices across the country, highlighting the need to develop a uniform guideline.

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Flexible Bronchoscopy

Miller

Casal

Lazarus

et al. 2018

Clinics in Chest Medicine

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Flexible bronchoscopy has changed the course of pulmonary medicine. As technology advances, the role of the flexible bronchoscope for both diagnostic and therapeutic indications is continually expanding. This article reviews the historical development of the flexible bronchoscopy, fundamental uses of the flexible bronchoscope as a tool to examine the central airways and obtain diagnostic tissue, and the indications, complications, and contraindications to flexible bronchoscopy.

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A Survey of Current Bronchoscopy Practices in Canada

Cited by 4 publications

References 8 publications

Survey of flexible bronchoscopy practice in adults in Saudi Arabia

Survey of flexible bronchoscopy practice in adults in Saudi Arabia

A survey of pediatric flexible bronchoscopy in India

Flexible Bronchoscopy

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