Survey of Adult Flexible Bronchoscopy Practice in Cairo

A survey of flexible bronchoscopy practices in India: The Indian bronchoscopy survey (2017)

“…This was highlighted 12 years ago in a bronchoscopy survey from India (including 149 respondents), akin to the bronchoscopy surveys conducted in other countries. [ 5 6 7 8 9 10 11 ] The “Indian Bronchoscopy Survey” was planned to study the existing practices of flexible bronchoscopy across the country and compare the prevalent practices with bronchoscopy surveys conducted in other countries. Herein, we report the results of this survey.…”

Survey of flexible bronchoscopy practice in adults in Saudi Arabia

“…Despite the basic requirement for sedation reversal agents to ensure safety, 6% of pulmonologists and 14% of intensivists reported that these medications were not readily available during procedures. Compliance with this important standard varies between countries; only 42% of bronchoscopists in the Egyptian survey reported availability of sedation reversal agents, but all physicians in the UK survey reported availability 4,6. Most bronchoscopists in our study monitored oxygen saturation, ECG, and blood pressure during a bronchoscopy procedure.…”

“…Other investigations, such as basic laboratory tests (electrolytes and renal function), arterial blood gases, spirometry, and ECG, were less frequently requested before the procedure. The frequency of pre-procedure investigations is not consistent in the published studies; routine requests for a complete blood count and coagulation profile were reported to be common in Egypt and Italy, but less so in North America, UK, and India 2,4,6,7,11. Almost all bronchoscopists in our study, except for a minority (10%) of thoracic surgeons, counseled their patients at least verbally before the procedure, and most across all specialties recommended more than 4 hours of fasting before bronchoscopy.…”

“…Almost all respondents in our survey had received formal training in bronchoscopy, and at least half of them had received their training abroad. However, surveys in other countries, including Egypt, Singapore, Australia, and New Zealand, have indicated that most bronchoscopists receive their training locally 4,5,10,11. This variation is likely explained by the extensive postgraduate scholarship programs offered to Saudi doctors, and the high percentage of non-Saudi national doctors practicing in Saudi Arabia who had been trained in their home countries.…”

“…Our survey format was adapted from surveys that had been used previously to address this issue 4,5. The survey domains included demographics, procedural statistics, patient preparation and tests, sedation and anesthesia, patient monitoring, infection control measures, and bronchoscopy training and competency.…”