Fiberoptic bronchoscopy in intensive care unit G. Gungor, T. Yarkin, N. Adiguzel, Z. Karakurt, E. Acarturk, O. Sogukpinar, R. Baran (Istanbul, Turkey)
Source: Annual Congress 2007 - Problems in intensive care medicine
Session: Problems in intensive care medicine Session type: Thematic Poster Session Number: 3457
Disease area: Respiratory critical careAbstract Aim: This study‘s aim is to evaluate the applications of fiberoptic bronchoscopy (FOB) in critically ill patients at intensive care unit (ICU).Method: Patients to whom FOB performed between January 2006-December 2006 in our respiratory ICU with 10 bed were included in this study. Clinical files of the patients were evaluated retrospectively. Patients‘ demographics, clinical characteristics, and the features of FOB procedure such as indication, bronchoscopic findings, and complications were recorded. Results: During the study period, a total of 219 bronchoscopies were applied in 60 patients. Mean age was 64.3±14.9, female/male ratio was 18/42. Clinical indications for applying FOB were summarized in Table. FOB was diagnostic in 20(33%) patients, and the diagnoses were as follows: endobronchial fungal plaques in 8(13.3%) patients, tracheobronchomalacia in 5(8.3%), tracheal stenosis in 3(5%), tracheaoesophageal fistula in 2(3.3%) patients, bronchopleural fistula in 1(1.7%) patient, and lung cancer in 1(1.7%) patient. No major complication was seen during the procedure.Conclusions : Fiberoptic bronchoscopy is a safe and valuable tool in the diagnosis and treatment of various respiratory conditions in critically ill patients.
Indications for bronchoscopic procedures Indications Number % Clearance of tenacious secretions, mucus plugs 83 37.9 Inspection of airways 41 18.7 Collection of pulmonary secretions or tissue samples 29 13.2 Checking the position of an endotracheal or tracheostomy tube 18 8.2 Abnormal chest radiography 14 6.4 Pulmonary complaints (hemoptysis,stridor,etc) 13 5.9 Assistance in the placement and controlling of airway stents 13 5.9 Insertion of an endotracheal tube 4 1.8 Removal of an aspirated foreign body 3 1.4 Bronchopleural fistula therapy 1 0.5
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G. Gungor, T. Yarkin, N. Adiguzel, Z. Karakurt, E. Acarturk, O. Sogukpinar, R. Baran (Istanbul, Turkey). Fiberoptic bronchoscopy in intensive care unit. Eur Respir J 2007; 30: Suppl. 51, 3457
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