Broncoscopia no Brasil

Zamboni, Mauro; Monteiro, Andreia Salarini

doi:10.1590/s1806-37132004000500004

Cited by 10 publications

(8 citation statements)

References 11 publications

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“…Other indications for respiratory endoscopy comprise thoracic neoplasm, hemoptysis, airway management ( i.e ., cannula replacement and intubation), foreign body retrieval, bronchial stenosis, and transplantation. ( 1 , 3 )…”

Section: Introductionmentioning

confidence: 99%

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Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

Costa¹,

Scordamaglio²,

Suzuki³

et al. 2018

Einstein (São Paulo)

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Objective To describe indications, clinical outcomes and complications of flexible bronchoscopy.Methods A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded.Results Over a three-year period (2013 to 2016), a total of 1,949 bronchoscopies were performed by respiratory endoscopy team and anesthesia specialists of the hospital. The mean age of patients was 57.7±21.9 years (range of 3 days to 99 years), with prevalence of males (56.4%). The procedures were mostly (86.3%) elective and 30.7% were carried out in the intensive care unit. Major indications for bronchoscopy were infection or secretion (42.4%), followed by suspected neoplasm (10.8%). Endoscopic changes were reported in 91.9% of cases, with more than one change described in approximately 6.9% of patients. Positive results were obtained via direct testing or culture in 36.3% and 53.9% of 1,399 bronchoalveolar lavages, respectively. The overall diagnostic yield (bronchoalveolar lavage and biopsy) was 72.6%. Mild adverse event rate was 7.2%. The rate of severe adverse events requiring additional intervention was 0.5% (pneumothorax, 0.4%; severe bleeding with patient death, 0.1%).Conclusion Lower airway endoscopy is critical for respiratory disease assessment, diagnosis and treatment. Flexible bronchoscopy is associated with good diagnostic yield and minimal inherent risk.

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Section: Introductionmentioning

confidence: 99%

“…Also, national respiratory endoscopy data are lacking and the number of expert professionals is low. ( 3 )…”

Section: Introductionmentioning

confidence: 99%

Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

Costa¹,

Scordamaglio²,

Suzuki³

et al. 2018

Einstein (São Paulo)

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“…Several studies have been developed to know about the consumption of tobacco. Most of them focused on the description of the magnitude and on the impact of this practice on population health (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

The search for equality: representations of the smoking act among adolescent women

Martinez

Ribeiro

2008

Rev. Latino-Am. Enfermagem

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This study aimed to discover the representations of the smoking habit in both non-smoking and smoking female adolescents from a high school in Querétaro, Mexico. It is a qualitative research, carried out with 14 female adolescents in 2005. A semi-structured interview and a socioeconomic survey were used to collect data. Results evidenced adolescents know the biomedical discourse, which proposes that smoking causes serious consequences to health. However, there are other symbolic reasons that influence its use such as the search for equality and image, since they think men find smoking women more attractive and mature. Peer pressure represents an important factor for women to smoke by validating its practice and minimizing its effects to the body. DESCRIPTORS: smoking; women; adolescent EN BÚSQUEDA DE LA IGUALDAD: REPRESENTACIONES DEL ACTO DE FUMAR EN MUJERES ADOLESCENTESEl objetivo de este estudio fue conocer las representaciones del acto de fumar en mujeres adolescentes fumadoras y no fumadoras de una institución de educación media superior en el estado de Querétaro, México.Es una investigación cualitativa realizada en el 2005 con 14 mujeres adolescentes. Como instrumento de recogida de información se utilizó una entrevista semi-estructurada y un cuestionario de datos sociodemográficos.Los resultados señalan que las adolescentes conocen el discurso biomédico que plantea que fumar trae graves consecuencias en el organismo, pero hay otras razones simbólicas que inciden en el consumo, tales como la búsqueda de la igualdad con los hombres y la imagen, ya que consideran que para los hombres una mujer que fuma es atractiva y tiene un grado más alto de madurez. El grupo social ejerce una influencia muy importante para que las mujeres fumen al validar la práctica y minimizar los daños en el organismo.

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“…(7,14) However, most foreign bodies are radiotransparent, which makes bronchoscopy the procedure of choice for diagnostic confirmation and foreign body removal, especially in inconclusive clinical cases. (7,14,15) In order to profile the clinical, radiological and endoscopic characteristics of FBA in patients treated at a public referral clinic in the city of São Luís, located in the state of Maranhão, Brazil, a descriptive study was carried out in patients submitted to respiratory endoscopy due to FBA between 1995 and 2005.…”

Section: Introductionmentioning

confidence: 99%

Aspiração de corpo estranho por menores de 15 anos: experiência de um centro de referência do Brasil

et al. 2009

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Objective: To describe the clinical, radiological and endoscopic characteristics of foreign body aspiration among individuals under the age of 15 treated at a referral center in the city of São Luís, Brazil. Methods: This was a descriptive study using data from the medical charts of patients treated for foreign body aspiration at the Hospital Universitário Materno Infantil between 1995 and 2005. We investigated 72 confirmed cases of foreign body aspiration, evaluating the place of residence, as well as biological, clinical, radiological and endoscopic variables. We used the chi-square test to identify statistically significant differences in frequency among the variables studied. Results: The majority of the patients were from outlying areas (55.6%). The following variables presented the highest frequencies: 0-3 year age bracket (81.9%); male gender (63.9%); evolution > 24 h (66.7%); hypotransparency on chest X-ray (57.7%); foreign body in the right lung (41.2%) or in the larynx (20.5%); organic nature of the foreign body (83.3%); complication in the form of localized inflammation (59.4%); glottal edema as an endoscopic complication (47.6%); and seeds (46.6%), fish bone (28.3%) or plastics (25.5%) as the type of foreign body. There were no deaths. Conclusions: Preventive care should be a priority for male children under the age of 3 living in outlying areas. Such children should not be given access to substances that can be aspirated, including certain foodstuffs. Simple and easily accessible radiological tests have been underused, which jeopardizes the quality of the initial treatment.Keywords: Foreign bodies; Inhalation; Bronchoscopy. ResumoObjetivo: Descrever as características clínicas, radiológicas e endoscópicas da aspiração de corpo estranho por menores de 15 anos em um centro de referência em São Luís, MA. Métodos: Estudo descritivo realizado a partir de dados de prontuários dos pacientes atendidos no Hospital Universitário Materno Infantil devido à aspiração de corpo estranho entre 1995 e 2005. Avaliamos 72 casos confirmados de aspiração de corpo estranho em relação à procedência, variáveis biológicas, clínico-radiológicas e endoscópicas. Para verificar se as frequências observadas das variáveis em estudo foram estatisticamente significantes, utilizamos o teste do qui-quadrado. Resultados: A maioria do pacientes era procedente das cidades do interior (55,6%). As maiores frequências das diferentes variá-veis estudadas foram as seguintes: faixa etária de 0-3 anos (81,9%); sexo masculino (63,9%); tempo de evolução > 24 h (66,7%); hipotransparência na radiografia de tórax (57,7%); localização do corpo estranho no pulmão direito (41,2%) ou na laringe (20.5%); natureza orgânica do corpo estranho (83,3%); complicação como processo inflamatório localizado (59,4%); edema de glote como complicação do exame endoscópico (47,6%); e sementes (46,6%), espinha de peixe (28,3%) e plásticos (25,5%) como tipos mais frequentes de corpos estranhos aspirados. Não houve óbitos. Conclusões: Cuidados preventivos devem p...

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Broncoscopia no Brasil

Cited by 10 publications

References 11 publications

Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

The search for equality: representations of the smoking act among adolescent women

Aspiração de corpo estranho por menores de 15 anos: experiência de um centro de referência do Brasil

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