Is Flexible Bronchoscopy a Safe Procedure for Critical Care Patients with Respiratory Failure?
Year: 2023
Type: article
Study design: Observational Study
Abstract: Flexible bronchoscopy (FB) plays an important role in critical care patients.But, critical care patients with respiratory failure are at an increased risk of developing complications.Considering the developments in intensive care unit care in recent years, we aimed to evaluate the use of FB in these patients.We retrospectively reviewed patients who underwent FB in critical care between 2014 and 2020.A total of 143 patients underwent FB during the study period.Arterial blood gas measurement on the FB day revealed a mean PaO 2 /FiO 2 of 186.94±28.47.Eighty-one (56.6%) patients underwent an fiberoptic bronchoscopy procedure under conventional oxygen supplementation, 10 (7%) on noninvasive ventilation, 13 (9.1%) on high flow nasal cannula, and 39 (27.3%) on invasive mechanical ventilation.During and immediately after bronchoscopy, none of the patients experienced life-threatening complications.Fifty-five (38.5%) patients developed complications that could be controlled.Multivariate analysis indicated that increased Apache-II score and presence of cardiovascular disease were significantly associated with an increased complication risk.Although critical care patients with respiratory failure are more prone to complications, diagnostic and therapeutic bronchoscopy may be performed following appropriate patient selection, without leading to major complications.
Source: Acta Clinica Croatica
Author: Aslıhan Gürün Kaya
Institution: Ankara University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4387942744