Original scientific paper

https://doi.org/10.20471/acc.2023.62.02.06

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

Aslıhan Gürün Kaya orcid.org/0000-0001-6072-8587 ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey *
Miraç Öz ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Umut Dilegelen orcid.org/0000-0003-0105-8872 ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Duygu Ecer orcid.org/0000-0003-3938-9239 ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Serhat Erol ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Fatma Çiftçi orcid.org/0000-0001-8141-2311 ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Aydın Çiledağ ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
Akın Kaya ; Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey

* Corresponding author.

Abstract

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 PaO2/FiO2 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.

Keywords

Bronchoscopy; Complication; Critical care; Respiratory failure; Respiratory support

Hrčak ID:

308643

URI

https://hrcak.srce.hr/308643

Publication date:

1.8.2023.

Article data in other languages: croatian

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