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ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI

Year 2022, Volume: 23 Issue: 4, 452 - 456, 17.10.2022
https://doi.org/10.18229/kocatepetip.1098961

Abstract

AMAÇ: Fleksibl fiberoptik bronkoskopi (FOB); yoğun bakım ünitesinde hem tanı ve hem de tedavi amaçlı olarak yaygın kullanılmaktadır. Bu çalışmada; yoğun bakım ünitemizde yapılan FOB’ların endikasyonları, tanı ve tedaviye katkılarının değerlendirilmesi amaçlanmıştır.
GEREÇ VE YÖNTEM: Bu prospektif çalışmya Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi yoğun bakım ünitesinde, Ekim 2021 ve Mart 2022 tarihleri arasında, yatırılarak FOB işlemi yapılan 30 hasta dahil edildi. Tüm hastaların yaş, cinsiyet, FOB endikasyonları, FOB işlemine ait komplikasyonlar, işlem öncesi ve işlem sonrası oksijen satürasyonları ve PaO2 verileri değerlendirildi.
BULGULAR: Çalışmaya alınan hastaların 23‘ü (%76,7) erkekti. Bronskopi endikasyonları incelendiğinde hastaların %83,3'ünün hastada mukus sekresyon temizlenmesi, %10’unun atelektazi ve %6,7’sinin ise kanama odağı belirlenmesi için yapıldığı görüldü. İşlem sırasında 11 (%36,7) hastada satürasyon düşüklüğü vardı. FOB sonrası, arteryel kan gazında PaO2 değerlerinde istatistiksel olarak anlamlı artış saptandı.
SONUÇ: Fiberoptik fleksibl bronkoskopi, yoğun bakım ünitelerinde çeşitli endikasyonlar için uygulanan bir işlemdir. Çalışmamızda bronkoskopinin komplikasyon oranının düşük olduğunu ve hastaların tanı ve tedavisine katkı sağladığını gözlemledik.

Supporting Institution

Afyonkocatepe üniversitesi tıp fakültesi BAP

Project Number

21. TEMATİK.008

References

  • 1. Raoof S, Mehrishi S, Prakash UB. Role of bronchoscopy in modern medical intensive care unit. Clin Chest Med. 2001;22:241–61.
  • 2. Chastre J, Fagon JY. Ventilator associated pneumonia. Am J Respir Crit Care Med. 2002;165:867–03.
  • 3. Du Rand IA, Blaikley J, Booton R, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accreditedby NICE. Thorax. 2013;68(1):1-44.
  • 4. Liebler JM, Markin CJ. Fiberoptic bronchoscopy for diagnosis and treatment. Crit Care Clin. 2000;16:83-100.
  • 5. Turner JS, Willcox PA, Hayhurst MD, Potgieter PD. Fiberoptic bronchoscopy in the intensive care unit a prospective study of 147 procedures in 107 patients. Critical Care Medicine. 1994;22(2):259–64.
  • 6. Estella A. Analysis of 208 flexible bronchoscopies performed in an intensive care unit. Medicina Intensiva. 2012;36(6):396–01.
  • 7. Pateland DB, Udwadia ZF. Role of bronchoscopy in an Indian critical care unit an experience of 118 procedures. Thorax. 1997;52(6):A65.
  • 8. Tai DYH. Bronchoscopy in the intensive care unit (ICU). Ann Acad Med Singapore. 1998;27:552–9.
  • 9. Hasegawa S, Terada Y, Murakawa M, et al. Emergency bronchoscopy. Journal of Bronchology. 1998;4:284-87.
  • 10. Álvarez-Maldonado P, Núñez-Pérez RC, Casillas-Enríquez JD, et al. Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice? Hindawi Publishing Corporation ISRN Endoscopy. 2013:1-6.
  • 11. Overstreet D, Roy T, Fields C. Bronchoscopy for pulmonary hygiene in the intensive care unit. J Ky Med Assoc. 1992;90;(9):449-53.
  • 12. Stevens RP, Lillington GA, Parsons GH. Fiberoptic bronchoscopy in the intensive care unit. HeartLung. 1981;10;(6):1037-45.
  • 13. Olapade CS, Prakash UBS. Bronchoscopy in the critical care unit. Mayo Clin Proc. 1989;64:1255-63.
  • 14. Snow N, Lucas A. Bronchoscopy in the critically ill surgical patients. Am Surg.1984;50:441-5.
  • 15. Stubbs SE, Brutinel WM. Complications of Bronchoscopy. In: Prakash BSU ed. Bronchoscopy. New York: Raven Press. 1994:357-66.
  • 16. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of Standards of Care Committee of British Thoracic Society. British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax. 2001;56(1):1-21.
  • 17. Lindholm CE, Ollman B, Snyder JV, et al. Cardio respiratory effects of flexible fiberoptic bronchoscopy in critically ill patients, Chest. 1978;74(4):362–8.
  • 18. Wu X, Li Y, Zhang M, et al. Etiology of Severe Community-Acquired Pneumonia in Adults Based on Metagenomic Next-Generation Sequencing: A Prospective Multicenter Study. Infect Dis Ther. 2020;9:1003-15.
  • 19. Pandolfi L, Fossali T, Frangipane V, et al. Broncho-alveolar inflammation in COVID-19 patients: a correlation with clinical outcome. BMC PulmMed. 2020;20:301.
  • 20. Başarık B, Taşbakan MS, Başoğlu ÖK, et al. Yoğun Bakım Ünitesinde Fiberoptik Bronkoskopi Uygulamaları. Yoğun Bakım Dergisi. 2013;11(2):71-7.
  • 21. Cracco C, Fartoukh M, Prodanovic H. Safety of performing fiberoptic bronchoscopy in critically ill hypoxemic patients with acute respiratory failure. Intensive Care Med. 2013;39(1):45-52.

USAGE/UTILITY OF FLEXIBLE FIBEROPTIC BRONCHOSCOPY IN ADULT INTENSIVE CARE UNIT

Year 2022, Volume: 23 Issue: 4, 452 - 456, 17.10.2022
https://doi.org/10.18229/kocatepetip.1098961

Abstract

OBJECTIVE: Flexible fiberoptic bronchoscopy (FOB) is a method widely used in the intensive care unit for both diagnosis and treatment. The aim of this study was to evaluate the indications of FOBs performed in the adult intensive care unit and their contribution to diagnosis and treatment.
MATERIAL AND METHODS: Thirty patients who were hospitalized in intensive care unit of Afyonkarahisar Health Sciences University Faculty of Medicine between October 2021 and March 2022 and underwent fiberoptic bronchoscopy were included in this prospective study. The patients age, gender, bronchoscopy indications, complications, pre- and post-procedural oxygen saturations and PaO2 values were analyzed.
RESULTS: Twenty three patients (76.7%) were male. When the indications for bronchoscopy were examined, it was observed that 83.3% of the patients were performed for mucus secretion clearance, 10% for atelectasis, and 6.7% for the determination of the bleeding focus. There was low saturation during the procedure in 11 (36.7%) patients. It was observed that there was a statistically significant increase in the PaO2 values measured in arterial blood gas after fiberoptic bronchoscopy.
CONCLUSIONS: Fiberoptic flexible bronchoscopy is a procedure applied in intensive care units for various indications. In our study, we observed that the complication rate of bronchoscopy was low and contributed to the diagnosis and treatment of patients.

Project Number

21. TEMATİK.008

References

  • 1. Raoof S, Mehrishi S, Prakash UB. Role of bronchoscopy in modern medical intensive care unit. Clin Chest Med. 2001;22:241–61.
  • 2. Chastre J, Fagon JY. Ventilator associated pneumonia. Am J Respir Crit Care Med. 2002;165:867–03.
  • 3. Du Rand IA, Blaikley J, Booton R, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accreditedby NICE. Thorax. 2013;68(1):1-44.
  • 4. Liebler JM, Markin CJ. Fiberoptic bronchoscopy for diagnosis and treatment. Crit Care Clin. 2000;16:83-100.
  • 5. Turner JS, Willcox PA, Hayhurst MD, Potgieter PD. Fiberoptic bronchoscopy in the intensive care unit a prospective study of 147 procedures in 107 patients. Critical Care Medicine. 1994;22(2):259–64.
  • 6. Estella A. Analysis of 208 flexible bronchoscopies performed in an intensive care unit. Medicina Intensiva. 2012;36(6):396–01.
  • 7. Pateland DB, Udwadia ZF. Role of bronchoscopy in an Indian critical care unit an experience of 118 procedures. Thorax. 1997;52(6):A65.
  • 8. Tai DYH. Bronchoscopy in the intensive care unit (ICU). Ann Acad Med Singapore. 1998;27:552–9.
  • 9. Hasegawa S, Terada Y, Murakawa M, et al. Emergency bronchoscopy. Journal of Bronchology. 1998;4:284-87.
  • 10. Álvarez-Maldonado P, Núñez-Pérez RC, Casillas-Enríquez JD, et al. Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice? Hindawi Publishing Corporation ISRN Endoscopy. 2013:1-6.
  • 11. Overstreet D, Roy T, Fields C. Bronchoscopy for pulmonary hygiene in the intensive care unit. J Ky Med Assoc. 1992;90;(9):449-53.
  • 12. Stevens RP, Lillington GA, Parsons GH. Fiberoptic bronchoscopy in the intensive care unit. HeartLung. 1981;10;(6):1037-45.
  • 13. Olapade CS, Prakash UBS. Bronchoscopy in the critical care unit. Mayo Clin Proc. 1989;64:1255-63.
  • 14. Snow N, Lucas A. Bronchoscopy in the critically ill surgical patients. Am Surg.1984;50:441-5.
  • 15. Stubbs SE, Brutinel WM. Complications of Bronchoscopy. In: Prakash BSU ed. Bronchoscopy. New York: Raven Press. 1994:357-66.
  • 16. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of Standards of Care Committee of British Thoracic Society. British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax. 2001;56(1):1-21.
  • 17. Lindholm CE, Ollman B, Snyder JV, et al. Cardio respiratory effects of flexible fiberoptic bronchoscopy in critically ill patients, Chest. 1978;74(4):362–8.
  • 18. Wu X, Li Y, Zhang M, et al. Etiology of Severe Community-Acquired Pneumonia in Adults Based on Metagenomic Next-Generation Sequencing: A Prospective Multicenter Study. Infect Dis Ther. 2020;9:1003-15.
  • 19. Pandolfi L, Fossali T, Frangipane V, et al. Broncho-alveolar inflammation in COVID-19 patients: a correlation with clinical outcome. BMC PulmMed. 2020;20:301.
  • 20. Başarık B, Taşbakan MS, Başoğlu ÖK, et al. Yoğun Bakım Ünitesinde Fiberoptik Bronkoskopi Uygulamaları. Yoğun Bakım Dergisi. 2013;11(2):71-7.
  • 21. Cracco C, Fartoukh M, Prodanovic H. Safety of performing fiberoptic bronchoscopy in critically ill hypoxemic patients with acute respiratory failure. Intensive Care Med. 2013;39(1):45-52.
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Semiha Orhan 0000-0003-2617-6197

Aydın Balcı 0000-0002-6723-2418

Bilge Banu Taşdemir Mecit 0000-0002-7994-7816

Kemal Yetiş Gülsoy 0000-0002-3496-7004

Project Number 21. TEMATİK.008
Publication Date October 17, 2022
Acceptance Date July 6, 2022
Published in Issue Year 2022 Volume: 23 Issue: 4

Cite

APA Orhan, S., Balcı, A., Taşdemir Mecit, B. B., Gülsoy, K. Y. (2022). ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI. Kocatepe Tıp Dergisi, 23(4), 452-456. https://doi.org/10.18229/kocatepetip.1098961
AMA Orhan S, Balcı A, Taşdemir Mecit BB, Gülsoy KY. ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI. KTD. October 2022;23(4):452-456. doi:10.18229/kocatepetip.1098961
Chicago Orhan, Semiha, Aydın Balcı, Bilge Banu Taşdemir Mecit, and Kemal Yetiş Gülsoy. “ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI”. Kocatepe Tıp Dergisi 23, no. 4 (October 2022): 452-56. https://doi.org/10.18229/kocatepetip.1098961.
EndNote Orhan S, Balcı A, Taşdemir Mecit BB, Gülsoy KY (October 1, 2022) ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI. Kocatepe Tıp Dergisi 23 4 452–456.
IEEE S. Orhan, A. Balcı, B. B. Taşdemir Mecit, and K. Y. Gülsoy, “ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI”, KTD, vol. 23, no. 4, pp. 452–456, 2022, doi: 10.18229/kocatepetip.1098961.
ISNAD Orhan, Semiha et al. “ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI”. Kocatepe Tıp Dergisi 23/4 (October 2022), 452-456. https://doi.org/10.18229/kocatepetip.1098961.
JAMA Orhan S, Balcı A, Taşdemir Mecit BB, Gülsoy KY. ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI. KTD. 2022;23:452–456.
MLA Orhan, Semiha et al. “ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI”. Kocatepe Tıp Dergisi, vol. 23, no. 4, 2022, pp. 452-6, doi:10.18229/kocatepetip.1098961.
Vancouver Orhan S, Balcı A, Taşdemir Mecit BB, Gülsoy KY. ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI. KTD. 2022;23(4):452-6.

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