Flexible Bronchoscopy in Mechanically Ventilated Patients

Castro, Felipè Rodríguez de; Violan, J. Sole

doi:10.1097/00128594-199601000-00015

Cited by 8 publications

(6 citation statements)

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“…In experienced hands with good awareness of anatomy of bronchial tree, bronchoscopy can be performed safely in high risk critical patients. 3,4 This study highlights the importance of FB in critical care settings and also focus on its indications and complications associated with the procedure.…”

Section: Introductionmentioning

confidence: 94%

Role of flexible bronchoscopy in ICU setting – 3 year study

Krishna¹,

Ninan²,

Balachandran³

2020

IJIRM

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Background: Flexible bronchoscopy (FB) is a powerful investigatory tool in patients with respiratory diseases. FB helps in direct visualisation of the upper and lower airways and has role in management of various pulmonary disorders. Its utility in critical care is increasing owing to its diagnostic and therapeutic role. This study aimed at understanding the clinical profile of critically ill ICU patients who required bronchoscopy during ICU stay. Data included demographics, indications, complications and microbiological isolates. Materials and Methods : This is a retrospective observational study conducted in 53 patients admitted at multidisciplinary ICU of a tertiary care teaching hospital, who required ICU bronchoscopy as an investigatory tool. Bronchoscopy was performed by consultants of Department of pulmonary medicine who are trained in performing flexible bronchoscopy. Results: There were total 53 patients who required ICU bronchoscopy. Mean age of the study population was 58.08 years with standard deviation of 13.16. Maximum age of study subject was 82 years and minimum age was 21 yrs. Out of 53 subjects 35 were males (66%) and 18 were females (34%). 62.3% of subjects were on mechanical ventilator during procedure. There were complications like hypoxemia, bleeding, hypotension with zero mortality. BAL was the commonest procedure performed. There was no statistical correlation between the indication and complications, and also no correlation between age and the complication. Statistical Analysis. Data was entered into Microsoft excel sheet and data analysed using Statistical Package for Social sciences (SPSS) version 16. Descriptive statistics such as frequency, percentage, mean and standard deviations were used. Quantitative data are expressed as mean ± SD, whereas qualitative data are expressed as numbers and percentages (%). Chi square test was used to find the statistical significance and p<0.05 was considered as statistically significant. Conclusion: Improved knowledge and awareness of the anatomy and procedure skills make FB a safe procedure even in high risk patients. This article highlights safety and benefits of FB in critically ill patients.

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Section: Introductionmentioning

confidence: 94%

Role of flexible bronchoscopy in ICU setting – 3 year study

Krishna¹,

Ninan²,

Balachandran³

2020

IJIRM

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“…After diagnosis rigid bronchoscopy will be useful in such patient for removal of that membrane. In some cases there may be completely fibrosed tracheal stenosis most commonly seen in subglottic area 2,4,7 . This is due to overt fibrosis due to constant pressure over tracheal wall 1 .…”

Section: Tracheal Obstructive Pseudomembranementioning

confidence: 99%

“…In their study, 45% were performed for the removal of retained bronchial secretions, 35% for collecting samples from the lower respiratory tract, 7% for assessing the airway, 2% for hemoptysis, 0.5% for assisting tracheal intubation, and 0.5% for the removal of foreign bodies. Table:1.1-indications of fiber-optic bronchoscopy in intensive care setup 5,6,7 . DIAGNOSTIC PURPOSES 5,6,7 THERAPEUTIC PURPOSES 5,6,7…”

Section: Introductionmentioning

confidence: 99%

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Role of fiberoptic bronchoscopy in patients with respiratory complications in multispecialty intensive care units

Harikrishnan¹,

Sundarajaperumal²,

NAGARAJAN³

2020

IJIRM

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“…Reflex bronchospasm induced by stimulation of subepithelial vagal receptors in the upper airway is further hypothesized to influence gas exchange. 15 Therefore, it is recommended that suction should not exceed 3 s.…”

Section: Gas Exchangementioning

confidence: 99%