Complications of Fiberoptic Bronchoscopy in Very Elderly Adults

Haga, Takahiro; Cho, Kohei; Nakagawa, Atsushi; Takagiwa, Jun; Arakawa, Sayaka; Sakamoto, Yoshio; Kichikawa, Yoshiko; Nakamori, Yoshitaka

doi:10.1111/jgs.13999

Cited by 16 publications

(10 citation statements)

References 9 publications

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“…With the increasing number of older patients with lung cancer, studies on diagnostic FB in patients aged >80 years have been published. 13 They report that older patients suffer from higher complication rates from FB when compared with younger populations. Recently, McLaughlin et al studied the safety and utility of FB in patients aged >85 years.…”

Section: Discussionmentioning

confidence: 99%

“…As the number of older patients with lung cancer is increasing, FB is being utilized more for these patients. Although several studies reported that the safety and usefulness of FB in older people were comparable with those in younger people, there is little known regarding the safety, diagnostic accuracy and clinical values, such as the survival rate of FB in patients aged ≥85 years with lung cancer 12–15 …”

Section: Introductionmentioning

confidence: 99%

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Flexible bronchoscopy for lung cancer diagnosis in patients aged ≥85 years

Mineshita

Morikawa

Furuya

et al. 2021

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Flexible bronchoscopy for lung cancer diagnosis in patients aged ≥85 years

Mineshita

Morikawa

Furuya

et al. 2021

Geriatrics Gerontology Int

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“…Fiberoptic bronchoscopy (FB) examination is an invasive examination, causing more harmful irritations such as severe reflux and aspiration in patients than gastroscopy. Pain and fear make some patients reject the FB procedure and not cooperate ( 4 ). However, the application of anesthesia can relieve the pain and nervousness in patients and promote the wide use of painless FB.…”

Section: Introductionmentioning

confidence: 99%

“…and not cooperate (4). However, the application of anesthesia can relieve the pain and nervousness in patients and promote the wide use of painless FB.…”

mentioning

confidence: 99%

Developmental Trends and Research Hotspots in Bronchoscopy Anesthesia: A Bibliometric Study

Min

Wang

et al. 2022

Front. Med.

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BackgroundThis study discusses the developmental trends and research hotspots in bronchoscopy anesthesia in the past six decades.MethodsThe original and review articles published from 1975 to June 2021 related to bronchoscopy anesthesia were retrieved from the Web of Science Core Collection (WoSCC). Three different scientometric tools (CiteSpace, VOSviewer, and Bibliometrix) were used for this comprehensive analysis.ResultsThere was a substantial increase in the research on bronchoscopy anesthesia in recent years. A total of 1,270 publications were retrieved up to June 25, 2021. Original research articles were 1,152, and reviews were 118, including 182 randomized controlled trials (RCTs). These publications were cited a total of 25,504 times, with a mean of 20.08 citations per publication. The US had the largest number of publications (27.6%) and the highest H-index of 44. The sum of publications from China ranked second (11.5%), with an H-index of 17. Keyword co-occurrence and references co-citation visual analysis showed that the use of sedatives such as dexmedetomidine in the process of bronchoscopy diagnosis and treatment was gradually increasing, indicating that bronchoscopy anesthesia was further progressing toward safety and comfort.ConclusionBased on a bibliometric analysis of the publications over the past decades, a comprehensive analysis indicated that the research of bronchoscopy anesthesia is in a period of rapid development and demonstrated the improvement of medical instruments and surgical options that have significantly contributed to the field of bronchoscopy anesthesia. The data would provide future directions for clinicians and researchers in relation to bronchoscopy anesthesia.

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“…Complications of flexible bronchoscopy are reported to be 0.1–30% of elective procedures in the recent literature [13, 21], the majority reporting 1–2% [22-24]. Most complications are associated with sedation or interventions and depend on severity of underlying diseases and patient profile [25, 26]. Hypoxaemia, arrhythmia, bleeding, fever, and pneumothorax are most frequently mentioned.…”

Section: Introductionmentioning

confidence: 99%

A Before-and-After Study of Evidence-Based Recommendations for On-Call Bronchoscopy

et al. 2021

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Background: Bronchoscopy is widely used and regarded as standard of care in most intensive care units (ICUs). Data concerning recommendations for on-call bronchoscopy are lacking. Objectives: Evaluation of recommendations, complications, and outcome of on-call bronchoscopies. Method: A retrospective single-centre analysis was conducted in a large university hospital. All on-call bronchoscopies performed outside normal working hours in the year before (period 1) and after (period 2) establishing a catalogue of recommendations for indications of on-call bronchoscopy on November 1, 2016, were included. Results: Overall, 924 bronchoscopies in 538 patients were analysed. A relative reduction of 83.6% from 794 bronchoscopies in 432 patients (1.84 per patient) during period 1 to 130 in 107 patients (1.21 per patient) during period 2 was observed. Most bronchoscopies (812/924, 87.9%) were performed in ICUs, and 416 patients (77.3%) were intubated. Bronchoscopies for excessive secretions decreased significantly during period 2. Fifty-three of 130 bronchoscopies (40.8%) fulfilled the specified recommendations during period 2, in comparison with 16.8% in period 1 (p < 0.001). Complications were recorded in 58 of 924 procedures (6.3%) and were more frequent in period 2, especially moderate bleeding. In-hospital mortality of patients undergoing on-call bronchoscopy did not differ between periods and was 28.7 and 30.2% in periods 1 and 2, respectively. Conclusion: The introduction of recommendations for on-call bronchoscopy led to a significant decline of on-call bronchoscopies without negatively affecting outcome. More evidence is needed in on-call bronchoscopy, especially for ICU patients with intrinsic higher complication rates.

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Complications of Fiberoptic Bronchoscopy in Very Elderly Adults

Cited by 16 publications

References 9 publications

Flexible bronchoscopy for lung cancer diagnosis in patients aged ≥85 years

Flexible bronchoscopy for lung cancer diagnosis in patients aged ≥85 years

Developmental Trends and Research Hotspots in Bronchoscopy Anesthesia: A Bibliometric Study

A Before-and-After Study of Evidence-Based Recommendations for On-Call Bronchoscopy

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