“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
Related Articles
- EP ID EP380815
- DOI 10.9790/0853-1708033643.
- Views 58
- Downloads 0
Correlationbetween Serum Uric Acid Level and Glycated Haemoglobin Level inDiabetic patients Of Population of Jamshedpur, Jharkhand, India
Background:Number of people with diabetes mellitus has increasing rapidly worldwide over the past many decades and it is an important public health challenges to the country. Present study was undertaken to compare the l...
Chronic Myelomonocytic Leukemia: A case report.
Chronic Myelomonocytic leukemia is a Myelodysplastic/Myeloproliferative neoplasm. This disorder presents with monocytosis and dysplasia. We present a case of a 65 year old male presenting to our department with fever and...
Prognostic Value of Cardiac Biomarkers in Hemodialysis Patients – which one to use?
The high prevalence of cardiovascular mortality in the end-stage renal disease population is well established. The aim of this current study was to document the relative prognostic significance of established biomarkers...
Comparison of haemodynamic changes and level of block during Spinal anaesthesia-Lithotomy v/s Supine position using Ropivacaine and Bupivacaine
Background and Aims: Spinal anaesthesia is associated with various haemodynamic changes due to sympathetic blockade. Various surgical positions also affects haemodynamics, lithotomy position increases the systolic arteri...
Career Planning and Development of Employees in Public and Private Sector Banks
The major objective of HRM is to achieve the success of organization through creation of motivated and competent workforce. Human Resource Management stands on the foundation of several different practices such as recrui...