Prospective Study of Fever and Pneumonia After Flexible Fiberoptic Bronchoscopy in Older People

Kanemoto, Kouji; Satoh, Hiroaki; Ishikawa, Hiroichi; Ishikawa, Shigemi; Ohtsuka, Morio; Sekizawa, Kiyohisa

doi:10.1111/j.1532-5415.2006.00705.x

Cited by 28 publications

(26 citation statements)

References 23 publications

(74 reference statements)

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“…In total, 94 papers reported complications and discomfort as their primary or secondary objective in procedures on more than 50 subjects (Table 3). Of these papers, 15 did not define outcomes sufficiently (4–18), five papers did not give information on the data collection (6, 7, 13, 14, 19), four papers were based on surveys of health care suppliers (20–23), and inclusion or exclusion criteria were not specified in 37 papers (8, 9, 12, 17, 20–52). Thus, further review was performed on the remaining 45 publications.…”

Section: Resultsmentioning

confidence: 99%

Complications and discomfort of bronchoscopy: a systematic review

Leiten

Martinsen

Bakke

et al. 2016

European Clinical Respiratory Journal

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ObjectiveTo identify bronchoscopy-related complications and discomfort, meaningful complication rates, and predictors.MethodWe conducted a systematic literature search in PubMed on 8 February 2016, using a search strategy including the PICO model, on complications and discomfort related to bronchoscopy and related sampling techniques.ResultsThe search yielded 1,707 hits, of which 45 publications were eligible for full review. Rates of mortality and severe complications were low. Other complications, for instance, hypoxaemia, bleeding, pneumothorax, and fever, were usually not related to patient characteristics or aspects of the procedure, and complication rates showed considerable ranges. Measures of patient discomfort differed considerably, and results were difficult to compare between different study populations.ConclusionMore research on safety aspects of bronchoscopy is needed to conclude on complication rates and patient- and procedure-related predictors of complications and discomfort.

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Section: Resultsmentioning

confidence: 99%

Complications and discomfort of bronchoscopy: a systematic review

Leiten

Martinsen

Bakke

et al. 2016

European Clinical Respiratory Journal

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“…The rate of fever following conventional flexible bronchoscopy varies according to different reports, ranging from 5% to 16%91011. Fever after bronchoscopy usually begins a few hours after the procedure, and subsides within 24 hours of onset.…”

Section: Discussionmentioning

confidence: 99%

“…Fever following bronchoscopy has frequently been reported, with a range of 5–16%91011, and incidence of fever after conventional TBNA was 10–13%1213. However, few studies have investigated fever following EBUS-TBNA.…”

Section: Introductionmentioning

confidence: 99%

Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration

Kim¹,

Lee

Park

et al. 2017

Tuberc Respir Dis

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BackgroundEndobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA.MethodsA total of 684 patients who underwent EBUS-TBNA from May 2010 to July 2012 at Seoul National University Hospital were retrospectively reviewed. The patients were evaluated for fever by a physician every 6–8 hours during the first 24 hours following EBUS-TBNA. Fever was defined as an increase in axillary body temperature over 37.8℃.ResultsFever after EBUS-TBNA developed in 110 of 552 patients (20%). The median onset time and duration of fever was 7 hours (range, 0.5–32 hours) after EBUS-TBNA and 7 hours (range, 1–52 hours), respectively, and the median peak body temperature was 38.3℃ (range, 37.8–39.9℃). In most patients, fever subsided within 24 hours; however, six cases (1.1%) developed fever lasting longer than 24 hours. Infectious complications developed in three cases (0.54%) (pneumonia, 2; mediastinal abscess, 1), and all three patients had diabetes mellitus. The number or location of sampled lymph nodes and necrosis of lymph node were not associated with fever after EBUS-TBNA. Multiple logistic regression analysis did not reveal any risk factors for developing fever after EBUS-TBNA.ConclusionFever is relatively common after EBUS-TBNA, but is transient in most patients. However, clinicians should be aware of the possibility of infectious complications among patients with diabetes mellitus.

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“…5 Bronchoscopic biopsy is accompanied by a risk of various degrees of infl ammation of the biopsied site, from transient extension of focal infl ammation to severe pneumonia. Focal infl ammation may gradually progress to the destruction of tissue structure and this can induce spontaneous rupture at the biopsied site, especially if the lesion itself is necrotic and in the periphery.…”

Section: Discussionmentioning

confidence: 99%

Acute nonbacterial pleuritis caused by spontaneous rupture of metastatic pulmonary adenocarcinoma

Iwata

Inoue

Morita

et al. 2008

Gen Thorac Cardiovasc Surg

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Nonbacterial pleuritis caused by rupture of a metastatic adenocarcinoma is extremely rare and has not yet been reported. A 59-year-old man with a history of rectal cancer surgery 6 years earlier presented with a solitary lung mass in the periphery of the right lower lobe on computed tomography. Transbronchial biopsy disclosed a suspected metastatic adenocarcinoma, and he was admitted for pulmonary metastasectomy. He had been asymptomatic, but 4 weeks after the diagnostic bronchoscopy, the patient suddenly complained of a right back pain and dyspnea at rest; shortly after that, he developed a fever of 39 degrees C. A chest X-ray showed right pleural effusion, collapse of the right lower lobe, and elevation of the right diaphragmatic dome, but without pneumothorax. Emergent video-assisted thoracoscopy revealed a perforated tumor in the collapsed lower lobe, and a right lower lobectomy was carried out. The postoperative course was uneventful, and he was well without recurrent disease 2 years after pulmonary resection.

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Prospective Study of Fever and Pneumonia After Flexible Fiberoptic Bronchoscopy in Older People

Abstract: Increasing age is not associated with increasing fever and pneumonia after FOB, and chronological age should not be considered a limiting factor in the decision of whether to perform FOB when it is clinically indicated.

Cited by 28 publications

References 23 publications

Complications and discomfort of bronchoscopy: a systematic review

Complications and discomfort of bronchoscopy: a systematic review

Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration

Acute nonbacterial pleuritis caused by spontaneous rupture of metastatic pulmonary adenocarcinoma

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