Clinical utility of sequential venous blood gas measurement in the assessment of ventilatory status during physiological stress

Wallbridge, Peter; Hannan, Liam M.; Joosten, Simon A.; Irving, Louis; Steinfort, Daniel P.

doi:10.1111/imj.12257

Cited by 17 publications

(11 citation statements)

References 19 publications

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“…In this study, EBUS combined with ROSE reduced the operation time. Shortening the operation time can improve the efficiency of bronchoscopy and reduce the adverse physiological effects of carbon dioxide retention and decreased blood oxygen 19 . For ROSE and final pathological results have good consistency, the positive result supports approach of termination of procedure without further sampling, reducing the hemorrhage and chest pain caused by biopsy and safety increased.…”

Section: Discussionmentioning

confidence: 83%

Diagnostic value of endobronchial ultrasound combined with rapid on‐site evaluation of transbronchial lung biopsy for peripheral pulmonary lesions

Liu

Wang

et al. 2021

Diagnostic Cytopathology

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Abstrac Background Rapid on‐site evaluation (ROSE) has the potential to increase endobronchial ultrasound (EBUS) guide transbronchial lung biopsy (TBLB) accuracy in the diagnosis of peripheral pulmonary lesions (PPLs). However, studies have reported controversial results. The aim of the study was to evaluate the diagnostic value of EBUS‐TBLB combination with ROSE in PPLs. Methods A total of 152 patients with PPLs underwent EBUS were enrolled and completed this study. Patients were divided into EBUS combined with ROSE group (EBUS+ROSE group) and EBUS group (EBUS group). The diagnostic yield, operation time, and complications were compared between the two groups. Results The diagnostic yield in EBUS+ROSE group was 85.9%, the operation time was (24.6 ± 6.8) min, the diagnostic yield in EBUS group was 70.3%, and the operative time was (32.4 ± 8.7) min, there were significant differences in diagnostic yield (χ2 = 5.456, P = .016) and operation time (t = 3.167, P = .001) between the two groups. No severe procedure related complications were observed, such as, pneumothorax and hemorrhage. Conclusions ROSE can improve the diagnostic yield and shorten the operation time. EBUS combined with ROSE is an effective diagnostic method for PPLs.

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Section: Discussionmentioning

confidence: 83%

Diagnostic value of endobronchial ultrasound combined with rapid on‐site evaluation of transbronchial lung biopsy for peripheral pulmonary lesions

Liu

Wang

et al. 2021

Diagnostic Cytopathology

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“…Shortening the procedure time can reduce adverse physiological effects on patients. [17][18][19] When ROSE is positive, the subsequent biopsy can be stopped, which reduces the incidence of bleeding, pneumothorax, and chest pain.…”

Section: Discussionmentioning

confidence: 99%

Improved diagnostic yield of transbronchial lung biopsy in peripheral pulmonary lesions using a combination of endobronchial ultrasound and rapid on-site evaluation

Wang

et al. 2021

J Int Med Res

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Objectives To evaluate the value of rapid on-site evaluation (ROSE) during radial probe endobronchial ultrasound transbronchial lung biopsy (rpEBUS-TBLB) for peripheral pulmonary lesions (PPLs). Methods One hundred and six patients with PPLs who received rpEBUS-TBLB were enrolled in this study. One specimen was immediately examined by ROSE and the other was sent to the central laboratory for cytologic diagnosis. The results of ROSE were compared with those of pathological diagnosis. Results The diagnostic accuracy, sensitivity, and specificity of ROSE during rpEBUS-TBLB for PPLs were 82.1%, 89.6%, and 77.1%, respectively. The procedure times and number of biopsies were less for procedures when ROSE was positive compared with those when ROSE was negative (procedure time: 20.5 ± 7.9 vs. 28.3 ± 7.6 minutes; number of biopsies: 1.6 ± 0.9 vs. 2.8 ± 0.6 times). No serious procedural complications were observed. Conclusions ROSE has value for diagnosing PPLs during rpEBUS. It can reduce procedure time, number of biopsies, and complications. ROSE combined with rpEBUS is an effective and safe method for the diagnosis of PPLs.

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“…Moreover, some patients (such as CO 2 retainers) are prone to hypoventilation, leading to increased ET CO2 when given supplemental oxygen, especially high‐flow 100% oxygen. We have previously demonstrated elevation of PaCO 2 to be a common event in bronchoscopy . Procedure time is highly variable depending on the techniques utilised , and is generally longer in EBUS than standard bronchoscopy.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled trial comparing high‐flow nasal oxygen with standard management for conscious sedation during bronchoscopy

et al. 2017

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Traditional conscious sedation for endobronchial ultrasound procedures places patients at risk of desaturation, and high-flow nasal oxygen may reduce the risk. We designed a parallel-group randomised controlled trial of high-flow nasal oxygen at a flow rate of 30-70 l.min via nasal cannulae, compared with standard oxygen therapy at 10 l.min via a bite block in adults planned for conscious sedation for endobronchial ultrasound. The primary outcome was the proportion of patients experiencing desaturation (defined as SpO < 90%). Secondary outcomes included oxygen saturation after pre-oxygenation, lowest oxygen saturation during procedure, number of hypoxic episodes, duration of hypoxia, end-procedure end-tidal CO , satisfaction scores and complications. Thirty participants were allocated to each group. Baseline patient characteristics, procedure time and anaesthetic agents used were similar between the groups. Desaturation occurred in 4 out of 30 patients allocated to the high-flow nasal oxygen group, compared with 10 out of 30 allocated to the standard oxygenation group, a non-significant difference (p = 0.07) with intention to treat analysis. The difference was significant (p = 0.047) when using a per-protocol analysis. Oxygen saturation after pre-oxygenation and the lowest oxygen saturation during procedure were significantly higher in the high-flow nasal oxygen group compared with the standard oxygenation group; median (IQR [range] 100 (99-100 [93-100]) vs. 98 (97-99 [94-100]), p = 0.0001 and 97.5 (94-99 [77-100]) vs. 92 (88-95 [79-98]), p < 0.001, respectively. There were no differences in other secondary outcomes. Although high-flow nasal oxygen may prevent desaturation due to some causes, it does not protect against hypoxaemia in all circumstances.

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Clinical utility of sequential venous blood gas measurement in the assessment of ventilatory status during physiological stress

Cited by 17 publications

References 19 publications

Diagnostic value of endobronchial ultrasound combined with rapid on‐site evaluation of transbronchial lung biopsy for peripheral pulmonary lesions

Diagnostic value of endobronchial ultrasound combined with rapid on‐site evaluation of transbronchial lung biopsy for peripheral pulmonary lesions

Improved diagnostic yield of transbronchial lung biopsy in peripheral pulmonary lesions using a combination of endobronchial ultrasound and rapid on-site evaluation

A randomised controlled trial comparing high‐flow nasal oxygen with standard management for conscious sedation during bronchoscopy

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