Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Sakr, Lama; Dutau, Hervé

doi:10.1159/000274492

Cited by 228 publications

(216 citation statements)

References 222 publications

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“…Rigid bronchoscopy may be preferred in cases of massive hemoptysis for control of hemorrhage, but FOB allows for rapid identification of the source of bleeding and, as seen in the two cases presented, can serve as a bridge for definitive treatment with interventions such as selective Fogarty catheter bronchial occlusion, instillation of cold saline, epinephrine or fibrin precursors, and selective intubation [4,29,30].…”

Section: Discussionmentioning

confidence: 99%

Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice?

et al. 2013

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is properly cited.Purpose. We describe characteristics, utility, and safety of fiberoptic bronchoscopy (FOB) in an intensive care unit (ICU). Methods. Prospective and descriptive cohort of patients admitted to a respiratory ICU from March 2010 to June 2012. Results. A total of 102 FOBs were performed in 84 patients among 580 patients that were admitted to the ICU. Mean age was 48 ± 17 years. FOB was useful in 65% of diagnostic procedures and 83% of therapeutic procedures, with an overall utility of 75%. Indications and utility according to indication were pneumonia in 31 cases, utility of 52%; percutaneous tracheostomy guidance in 26 cases, utility of 100%; atelectasis in 25 cases, utility of 76%; airway exploration in 16 cases, utility of 75%; hemoptysis in two cases, utility of 100%; and difficult airway intubation in two cases, utility of 100%. A decrease in oxygen saturation (SpO 2 ) of >5% during FOB was present in 65% of cases, and other minor complications were present in 3.9% of cases. Conclusions. Reasons for performing FOB in the ICU have remained relatively stable over time with the exception of the addition of percutaneous tracheostomy guidance. Our series documents current indications and also the utility and safety of this procedure.

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Section: Discussionmentioning

confidence: 99%

Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice?

et al. 2013

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“…A therapeutic flexible bronchoscope will allow for evacuation of majority of airway blood and secretions, as well as allow for airway inspection. When there is extensive hemorrhage, the rigid bronchoscope will accommodate a large bore suction catheter to evacuate rapidly accumulating blood and remove larger formed clots allowing for visualization and identification of the bleeding source (69)(70)(71). Once the source is identified, RB affords many different modalities to quickly intervene and control bleeding (70).…”

Section: Rigid 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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“…Hemostatic agents such as reptilase or norepinephrine [5,6] were administered locally to patients with active mucosal bleeding. Biopsy forceps were used when it was difficult to aspirate secretions or blood clots, along with repeated flushing and aspiration with 10-20 ml of warm normal saline to a total of less than 100 ml.…”

Section: Preliminary Treatment For Airway Injurymentioning

confidence: 99%

Full Airway Drainage by Fiber Bronchoscopy Through Artificial Airway in the Treatment of Occult Traumatic Atelectasis

et al. 2014

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The objective of this study is to investigate the effects of full airway drainage by fiber bronchoscopy through artificial airway in the treatment of traumatic atelectasis with occult manifestations. From May 2006 to May 2011, 40 cases of occult traumatic atelectasis were enrolled into our prospective study. Group A (n=18) received drainage by nasal bronchoscope; group B underwent airway drainage by fiber bronchoscopy through artificial airway (n=22). The effects of treatment were evaluated by the incidence of adult respiratory distress syndrome (ARDS), lung abscess, and the average length of hospital stay. Compared with nasal fiber-optic treatment, airway drainage by fiber bronchoscopy through artificial airway reduced the incidence of ARDS (p=0.013) and lung abscess (p=0.062) and shortened the mean length of stay (p=0.018). Making the decision to create an artificial airway timely and carry out lung lavage by fiber bronchoscopy through artificial airway played a significant role in the treatment of occult traumatic atelectasis.

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Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Cited by 228 publications

References 222 publications

Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice?

Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice?

The role of bronchoscopy in the diagnosis of airway disease

Full Airway Drainage by Fiber Bronchoscopy Through Artificial Airway in the Treatment of Occult Traumatic Atelectasis

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