The use of bronchoscopy in critically ill patients: considerations and complications

Ergan B., Nava S.

EXPERT REVIEW OF RESPIRATORY MEDICINE, cilt.12, sa.8, ss.651-663, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 12 Sayı: 8
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1080/17476348.2018.1494576
  • Dergi Adı: EXPERT REVIEW OF RESPIRATORY MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.651-663
  • Anahtar Kelimeler: Flexible bronchoscopy, critically ill, intensive care unit, complication, indication, MECHANICALLY VENTILATED PATIENTS, ACUTE RESPIRATORY-FAILURE, FLEXIBLE FIBEROPTIC BRONCHOSCOPY, INTENSIVE-CARE-UNIT, POSITIVE-PRESSURE VENTILATION, INFECTIOUS-DISEASES SOCIETY, TRANSBRONCHIAL LUNG-BIOPSY, AMERICAN THORACIC SOCIETY, TRANS-BRONCHIAL BIOPSY, OF-THE-LITERATURE
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Introduction: Flexible bronchoscopy has been well established for diagnostic and therapeutic purposes in critically ill patients.Areas covered: This review outlines the clinical evidence of the utility and safety of flexible bronchoscopy in the intensive care unit, as well as specific considerations, including practical points and potential complications, in critically ill patients.Expert commentary: Its ease to learn and perform and its capacity for bedside application with relatively few complications make flexible bronchoscopy an indispensable tool in the intensive care unit setting. The main indications for flexible bronchoscopy in the intensive care unit are the visualization of the airways, sampling for diagnostic purposes and management of the artificial airways. The decision to perform flexible bronchoscopy can only be made by trade-offs between potential risks and benefits because of the fragile nature of the critically ill. Flexible bronchoscopy-associated serious adverse events are inevitable in cases of a lack of expertise or appropriate precautions.