British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE

Rand, I A Du; Blaikley, John; Booton, Richard; Chaudhuri, Nazia; Gupta, Vandana; Khalid, Saif ur-Rahman; Mandal, Swapna; Martin, Joan; Mills, Janet; Navani, Neal; Rahman, Najib M.; Wrightson, JM; Munavvar, Mohammed

doi:10.1136/thoraxjnl-2013-203618

Cited by 652 publications

(748 citation statements)

References 285 publications

(324 reference statements)

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“…In order to select the optimal treatment for all lung cancer patients, national and international guidelines has been developed [10,29,[33][34][35][36][37]. It is particularly important to perform a thorough preoperative assessment in patients scheduled for surgical or radiological treatment with curative intent.…”

Section: Patient Selection For Surgical Treatmentmentioning

confidence: 99%

Survival After Surgical Resection for Lung Cancer in Patients With Chronic Obstructive Pulmonary Disease

Bugge

Lund

Brunborg

et al. 2016

The Annals of Thoracic Surgery

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Section: Patient Selection For Surgical Treatmentmentioning

confidence: 99%

Survival After Surgical Resection for Lung Cancer in Patients With Chronic Obstructive Pulmonary Disease

Bugge

Lund

Brunborg

et al. 2016

The Annals of Thoracic Surgery

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“…In 1987, the first published FFB guideline for adults provided recommendations for the use of bronchoscopy for diagnosis and management of a broad spectrum of inflammatory, infectious, and malignant diseases [7] . Updated guidelines published by the British Thoracic Society further defined the indications, patient selection criteria, and potential adverse events in adult bronchoscopy [8] . However, the guidelines for adult FFB cannot necessarily be extrapolated to children given the smaller airways, differences in pulmonary diagnoses, and sedation needs for FFB in children.…”

Section: Introductionmentioning

confidence: 99%

Utility of flexible fiberoptic bronchoscopy for critically ill pediatric patients: A systematic review

Field-Ridley

Sethi

Murthi

et al. 2015

WJCCM

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AIM:To investigate the diagnostic yield, therapeutic efficacy, and rate of adverse events related to flexible fiberoptic bronchoscopy (FFB) in critically ill children. METHODS:We searched PubMed, SCOPUS, OVID, and EMBASE databases through July 2014 for English language publications studying FFB performed in the intensive care unit in children < 18 years old. We identified 666 studies, of which 89 full-text studies were screened for further review. Two reviewers independently determined that 27 of these studies met inclusion criteria and extracted data. We examined the diagnostic yield of FFB among upper and lower airway evaluations, as well as the utility of bronchoalveolar lavage (BAL). RESULTS:We found that FFB led to a change in medical management in 28.9% (range 21.9%-69.2%) of critically ill children. The diagnostic yield of FFB was 82% (range 45.2%-100%). Infectious organisms were identified in 25.7% (17.6%-75%) of BALs performed, resulting in a change of antimicrobial management in 19.1% (range: 12.2%-75%). FFB successfully reexpanded atelectasis or removed mucus plugs in 60.3% (range: 23.8%-100%) of patients with atelectasis. Adverse events were reported in 12.9% (range: 0.5%-71.4%) of patients. The most common adverse effects of FFB were transient hypotension, hypoxia and/ or bradycardia that resolved with minimal intervention, such as oxygen supplementation or removal of the bronchoscope. Serious adverse events were uncommon; 2.1% of adverse events required intervention such as bag-mask ventilation or intubation and atropine for hypoxia and bradycardia, normal saline boluses for hypotension, or lavage and suctioning for hemorrhage. CONCLUSION:FFB is safe and effective for diagnostic and therapeutic use in critically ill pediatric patients.

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“…43 The role of TBBx in fibrotic ILD is further limited by the risk of significant bleeding (1%-4% of cases) and pneumothorax (9%), with half of the latter requiring chest tube drainage. [44][45][46][47][48][49][50] Based on the limited diagnostic utility and potential risks, a previous consensus statement recommended against TBBx in patients with suspected IPF, 3 suggesting that it primarily be used to diagnose infection or malignancy in appropriate settings.…”

Section: Transbronchial Biopsymentioning

confidence: 99%

Evaluation of patients with fibrotic interstitial lung disease: A Canadian Thoracic Society position statement

Johannson

Kolb

Fell

et al. 2017

Canadian Journal of Respiratory, Critical Care, and Sleep Medic

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British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE

Cited by 652 publications

References 285 publications

Survival After Surgical Resection for Lung Cancer in Patients With Chronic Obstructive Pulmonary Disease

Survival After Surgical Resection for Lung Cancer in Patients With Chronic Obstructive Pulmonary Disease

Utility of flexible fiberoptic bronchoscopy for critically ill pediatric patients: A systematic review

Evaluation of patients with fibrotic interstitial lung disease: A Canadian Thoracic Society position statement

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