Role of fiberoptic bronchoscopy in patients with respiratory complications in multispecialty intensive care units
Journal Title: IP Indian Journal of Immunology and Respiratory Medicine - Year 2018, Vol 3, Issue 3
Abstract
Introduction To determine the contribution and safety profile of flexible fiberoptic bronchoscopy in intensive care units in terms of therapeutic outcome in lung collapse patientsMethodology Patients with respiratory complications from various speciality intensive care units were enrolled After clinical and radiological evaluation if conservative management fails bronchoscopic intervention was considered Bronchoscopy was performed according to British Thoracic Society guidelines after informed consent SwivelTTube adapter was used for the patients in mechanical ventilation Data such as chest radiograph arterial blood gas Bacterial culture of tracheal and BAL secretions between before and after brochcoscopy 6 24 hrs were analysed using standard SPSS softwareResults In our study 63 patients were enrolled Most of the patients were in mechanical ventilation 85 n5463 In our study the indications for bronchoscopy were suspected atelectasis 571 n36 persistent pulmonary infiltrates 30 n27 In suspected atelectasis casesn36 bronchoscopic findings were mucous plug in 61n22 blood clot in 11n4 and purulent secretions 22 n8 and mucoid secretions in 5 n2 Post brochoscopic chest radiograph of suspected ateletasis showed partial resolution in 388 n14 and complete resolution in 472 n17Conclusion In our study contribution of bronchoscopy played a vital role in therapeutic outcome Patients had good response to bronchoscopy 85 improvement when intervened within 5 days of admission in ICU No life threatening complications were encountered hence bronchoscopy is safe in critically ill patients if basic precautions are taken Keywords BAL and VAP Fiberoptic bronchoscopy in intensive care units Lung atelectasis in ICU Safety of FOB in ICU
Authors and Affiliations
S Harikrishnan, A Sundarajaperumal, Nagarajan Dr
Keywords
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- EP ID EP490603
- DOI 10.18231/2581-4222.2018.0031
- Views 78
- Downloads 0
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