Incidence of complications in bronchoscopy. Multicentre prospective study of 20,986 bronchoscopies

Facciolongo, Nicola; Patelli, Marco; Gasparini, Stefano; Agli, Luigi Lazzari; Salio, Mario; Simonassi, Claudio; Prato, Bruno del; Zanoni, Paolo

doi:10.4081/monaldi.2009.370

Cited by 114 publications

(125 citation statements)

References 26 publications

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“…Studies from the 2000s [4,5] have reported complication rates of 1.08−6.6% and mortality rates of 0.02−0.045%. A large survey in Japan [2] found complication rates ranging from 0.15 to 2.06% and a mortality rate of 0.004%.…”

Section: Discussionmentioning

confidence: 99%

“…In one case, it was caused by brushing of a solitary lesion in a patient with suppurative pneumonia, other deaths were attributed to cerebral infarction caused by air emboli following forceps biopsy of a solitary lesion, aortic dissection following simple bronchoscopy for diffuse lesions, and acute exacerbation of interstitial pneumonia after endobronchial ultrasonography transbronchial needle aspiration of hilar lymph node. Since hemostasis techniques have been improving based on a great deal of experience, fatal case of hemorrhage due to TBLB have not been reported in recent years [2,4,5].…”

Section: Discussionmentioning

confidence: 99%

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An Autopsy Case of Asphyxia Caused by Uncontrolled Hemorrhage Following Transbronchial Lung Biopsy

Unuma¹,

Watanabe²,

Makino³

et al. 2016

J Clin Respir Dis Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Autopsy Case of Asphyxia Caused by Uncontrolled Hemorrhage Following Transbronchial Lung Biopsy

Unuma¹,

Watanabe²,

Makino³

et al. 2016

J Clin Respir Dis Care

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“…Adverse events are rare but include: bleeding (0.12%), hypoxia, loss of airway, pneumothorax (0.1-0.16%), or mortality (0-0.02%) (10)(11)(12).…”

Section: Flexible Bronchoscopymentioning

confidence: 99%

The role of bronchoscopy in the diagnosis of airway disease

Paradis¹,

Dixon²,

Tieu³

2016

J. Thorac. Dis.

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Endoscopy of the airway is a valuable tool for the evaluation and management of airway disease. It can be used to evaluate many different bronchopulmonary diseases including airway foreign bodies, tumors, infectious and inflammatory conditions, airway stenosis, and bronchopulmonary hemorrhage. Traditionally, options for evaluation were limited to flexible and rigid bronchoscopy. Recently, more sophisticated technology has led to the development of endobronchial ultrasound (EBUS) and electromagnetic navigational bronchoscopy (ENB). These technological advances, combined with increasing provider experience have resulted in a higher diagnostic yield with endoscopic biopsies. This review will focus on the role of bronchoscopy, including EBUS, ENB, and rigid bronchoscopy in the diagnosis of bronchopulmonary diseases. In addition, it will cover the anesthetic considerations, equipment, diagnostic yield, and potential complications.

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“…Diagnostic sampling may lead to immediate, although rare, complications, such as intrabronchial bleeding, bronchospasm, hypoxemia, hemodynamic variations and pneumothorax (1,5,6).…”

mentioning

confidence: 99%

“…We know from the literature that significant fall in Forced Expiratory Volume in 1 second (FEV 1 ), and forced vital capacity (FVC) occurs after endoscopic procedure, during both routine bronchoscopy and procedures, which include bronchoalveolar lavage (BAL) and biopsy (6). This impairment of the lung function reflects the gas exchange efficiency, with a reduction of the PaO 2 (7).…”

mentioning

confidence: 99%

Is bronchodilator the correct treatment for COPD subjects before EBUS?

Leoni¹,

Pignatti²,

Visca³

et al. 2017

J. Thorac. Dis.

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Endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA) is a relatively novel, minimally invasive methodology to sample peribronchial masses with real-time guidance (1,2), widely used all over the world. The most common indications for EBUS are the staging of the mediastinum for suspected non-small cell lung cancer and the diagnosis of unexplained mediastinal lymphadenopathy. Usually EBUS is well tolerated, with very few major contraindications; guidelines suggest that patients who experienced myocardial infarction should wait 6 weeks before the procedure, which is however contraindicated when myocardial ischemia, arrhythmias, severe hypoxemia at rest, coagulation or platelet function disorders are present (1).EBUS-TBNA is less available and more expensive than rigid bronchoscopy (RB) which remains the best choice for extraction of airway foreign bodies, when a flexible scope is not suited or in case of large biopsies. However, the diagnostic power of RB in terms of lung cancer staging or evaluation of peripheral pulmonary lesions is lower compared to EBUS-TBNA (3) in the general population and speculatively in COPD patients.

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Incidence of complications in bronchoscopy. Multicentre prospective study of 20,986 bronchoscopies

Cited by 114 publications

References 26 publications

An Autopsy Case of Asphyxia Caused by Uncontrolled Hemorrhage Following Transbronchial Lung Biopsy

An Autopsy Case of Asphyxia Caused by Uncontrolled Hemorrhage Following Transbronchial Lung Biopsy

The role of bronchoscopy in the diagnosis of airway disease

Is bronchodilator the correct treatment for COPD subjects before EBUS?

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