Bronchoscopy in Intensive Care Unit

Fecci, Luigi; Consigli, G.F.

doi:10.4081/monaldi.2011.245

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…[1] FFB should be performed by experienced individuals as it requires good hand and eye coordination, which can be achieved only by repeated practicing. [2] Practicing the procedure on patients by inexperienced physicians is unethical and harmful to the patient.…”

Section: Introductionmentioning

confidence: 99%

Anatomical model broncho-trainer: A new training device

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Anatomical model broncho-trainer: A new training device

et al. 2014

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“…It is possible for some pulmonary infections such as PJP that the chance of microorganism isolation is not affected by few days of empirical therapy [21]. Also, bronchoscopy can be carried out by experts in the intensive care unit (ICU) for intubated patients with careful monitoring [22]. The risks and benefits of this procedure should be carefully considered in mechanicallyventilated patients [5].…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes and complications of fiberoptic bronchoscopy in HIV-infected patients

Marjani¹,

Moinpour²,

Kiani³

et al. 2020

HIV & AIDS Review

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Introduction: Respiratory diseases, including infectious and non-infectious complications are common among patients with human immunodeficiency virus (HIV) infection. We aimed to determine the performance of fiberoptic bronchoscopy (FOB), bronchoalveolar lavage, and transbronchial lung biopsy in HIV-infected patients. Material and methods:The current retrospective study was performed in Masih Daneshvari Hospital, Tehran, Iran, from January 2003 to March 2017. Patients with HIV infection and 836 episodes of respiratory manifestations were selected. Indications, outcomes as well as results and complications of bronchoscopy were extracted. Performance of bronchoscopy to determine definite etiology and its ability to rule out other differential diagnoses were evaluated. Results:The indications of FOB were found in 289 subjects (34.6%) with respiratory diseases, of whom only 220 patients had undergone the procedure. Bronchoscopy confirming a final diagnosis was found in 87 (39.5%) patients and a diagnostic benefit was noted for minimum 66.7% of the subjects. Diagnostic ability of bronchoscopy was higher in patients suspected of pneumocystis jiroveci pneumonia (PJP), tuberculosis (TB), cytomegalovirus (CMV) pneumonitis, and in cases with ground-glass opacity and diffuse lung infiltrates (p-value: 0.003 and 0.035, respectively), and lower for subjects demonstrating reticulonodular infiltrations and right middle and lower lobes involvement (p-value: 0.008, 0.005, and 0.045, respectively). Procedure-related complications were reported in five subjects. Conclusions:FOB is a significantly advantageous and safe procedure in HIV-infected patients. Its diagnostic yield is higher in patients with ground-glass opacity and diffuse infiltration in chest computed tomography scan.

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Bronchoscopy in intensive care and intensive care units (ICU)

Korotkevich

2024

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The use of therapeutic bronchoscopy in intensive care units is still actively studied and discussed. The emergence of new generations of endoscopes, new types of respiratory support, accumulation of experience in the prevention of cardiovascular complications along with the study of physiological mechanisms of bronchoscopy complications in the absence of unified views on the types of complications allows different interpretations of the outcomes of bronchoscopy in intensive care patients. Nevertheless, the search for predictors of complications, the strategy of accompanying therapeutic bronchoscopy, the choice of endoscopy type for bronchial lavage and determination of indisputable indications for interventional endoscopy remains an area of interest for physicians of different specialties, using bronchoscopy as a diagnostic and therapeutic method. The presented review of the literature summarizes the data and views of the recent years concerning the problem of therapeutic bronchoscopy in intensive care units.

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Bronchoscopy in Intensive Care Unit

Abstract: -

Cited by 3 publications

References 39 publications

Anatomical model broncho-trainer: A new training device

Anatomical model broncho-trainer: A new training device

Clinical outcomes and complications of fiberoptic bronchoscopy in HIV-infected patients

Bronchoscopy in intensive care and intensive care units (ICU)

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