“A Study of Use and Safety of Fibre - Optic Bronchoscope in Critically Ill Patients in Intensive Care Units at Our Tertiary Care Hospital.”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: fibre-optic bronchoscopy (FOB) is one of the most important techniques in pulmonary medicine. The diagnostic and therapeutic uses of FOB, with less morbidity and mortality have led to its increase use in critically ill patients. As FOB allows direct inspection of airways under topical anaesthesia, it facilitates the early diagnosis and management of variety of pulmonary diseases. Aims & objectives: We undertook this study at our institute to assess the yield of flexible fibre-optic bronchoscope in ICU, to look for complications associated with FOB in ICU and to judge the safety of FOB in ICU. Material and methods: We included all adult patients admitted in ICU excluding patients with severe hypoxemia, bleeding disorders, unstable angina etc. All FOBs were done after informed, written and valid high risk consent. Pre procedure X-ray chest, ABG, bleeding time and clotting time was done. In ventilated patients, all precautions were taken as per guidelines. [34]. All procedures were followed by post procedure X-ray chest and ABG. Result: FOB was performed in 42 patients on 105 occasions. Mean age of patients was 32.1 years. M:F ratio was 9:5. Among 105 bronchoscopies, 12 were done for diagnostic, 70 for therapeutic and 23 for combined indications. No death occurred during any of 105 procedures. Few complications observed were tachycardia, fever, minimal haemorrhage, hypoxemia and occasional arrhythmias. Conclusion: Our study shows that the FOB is a safe procedure in critically ill ICU patients with proper monitoring. It is an extremely useful diagnostic and therapeutic procedure in critical ICU patients.
Authors and Affiliations
Dr. Anita A. Saibannavar
Keywords
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- EP ID EP380815
- DOI 10.9790/0853-1708033643.
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