USAGE/UTILITY OF FLEXIBLE FIBEROPTIC BRONCHOSCOPY IN ADULT INTENSIVE CARE UNIT
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 4
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.
Authors and Affiliations
Semiha ORHAN Aydın BALCI Bilge Banu TAŞDEMİR MECİT Kemal Yetiş GÜLSOY
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