Cardiorespiratory Effects of Flexible Fiberoptic Bronchoscopy in Critically III Patients

Noninvasive positive-pressure ventilation vs conventional oxygen supplementation in hypoxemic patients undergoing diagnostic bronchoscopy

Noninvasive Positive−Pressure Ventilation Via Face Mask During Bronchoscopy With BAL in High−Risk Hypoxemic Patients

The development of the flexible, fiberoptic bronchoscope has made bronchoscopic examinations possible in ICU patients undergoing mechanical ventilation. Over the years, the number of such procedures has greatly increased, with both diagnostic and therapeutic objectives, such as performing difficult intubation, management of atelectasis and hemoptysis, diagnosis of nosocomial pneumonia in ventilated patients, and early detection of airway lesions in selected situations, such as high-frequency ventilation. The complication rate can be kept low if the endoscopist has a precise knowledge of the many pathophysiological and technical facets particular to bronchoscopy under these difficult conditions. This article reviews some of these aspects, in the light of our personal experience.

https://link.springer.com/content/pdf/10.1007/BF01709240.pdf

Bronchoscopy in the intensive care unit

Bronchoscopy for Atelectasis in the ICU:A Case Report and Review of the Literature

Flexible fiberoptic bronchoscopy was evaluated in 71 procedures in 55 patients. Two-thirds of these procedures were carried out in patients with ongoing mechanical ventilation as their respiratory failure contraindicated rigid bronchoscopy. A wide variety of important diagnostic information was obtained. FFB caused no mortality or serious complications. Transient tachycardia occurred in several patients, cardiac arrhythmia in two and mediastinal emphysema in one patient. Retained secretions and atelectasis were the indications for 53 FFBs; 43 (81%) of these procedures were successful in improving aeration as evaluated with radiography.

Bengt Ollman

Papers

Flexible fiberoptic bronchoscopy in critical care medicine. Diagnosis, therapy and complications.

Endotracheal Excision of Fibrous Tracheal Stenosis and Subsequent Prolonged Stenting: An Alternative Method in Selected Cases

Cardiovascular effects of flexible fiberoptic bronchoscopy (FFB)