Evaluation of transcutaneous carbon dioxide and saturation monitoring during fiberoptic bronchoscopy

Şenel, Merve Yumrukuz; Fırat, Hikmet; Kurt, Bahar

doi:10.5578/tt.70356

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“…Comorbid conditions also predict the risk of complications during bronchoscopy ( 1 , 30 , 32 ). In this study, the rate of cardiovascular disease was higher in the patient group with complications.…”

Section: Discussionmentioning

confidence: 99%

Is Flexible Bronchoscopy a Safe Procedure for Critical Care Patients with Respiratory Failure?

Gürün Kaya

2023

ACC

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SUMMARY 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.

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Section: Discussionmentioning

confidence: 99%

Is Flexible Bronchoscopy a Safe Procedure for Critical Care Patients with Respiratory Failure?

Gürün Kaya

2023

ACC

View full text Add to dashboard Cite

show abstract

Evaluation of transcutaneous carbon dioxide and saturation monitoring during fiberoptic bronchoscopy

Cited by 1 publication

References 0 publications

Is Flexible Bronchoscopy a Safe Procedure for Critical Care Patients with Respiratory Failure?

Is Flexible Bronchoscopy a Safe Procedure for Critical Care Patients with Respiratory Failure?

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