Risk factors of complications during noninvasive mechanical ventilation -assisted flexible bronchoscopy.

Bronchoscopy / adverse effects Humans Noninvasive Ventilation / adverse effects Prospective Studies Respiration, Artificial / adverse effects Retrospective Studies Risk Factors
Airway assessment Complication risk Flexible bronchoscopy Noninvasive mechanical ventilation Respiratory failure

Journal

Advances in medical sciences
ISSN: 1898-4002
Titre abrégé: Adv Med Sci
Pays: Netherlands
ID NLM: 101276222

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 24 10 2020
revised: 15 03 2021
accepted: 08 04 2021
pubmed: 24 4 2021
medline: 14 1 2022
entrez: 23 4 2021
Statut: ppublish

Résumé

Flexible bronchoscopy (FB) causes airway narrowing and may cause respiratory failure (RF). Noninvasive mechanical ventilation (NIV) is used to treat RF. Until recently, little was known about noninvasive mechanical ventilation assisted flexible bronchoscopy (NIV-FB) risk and complications. A retrospective analysis of NIV-FB performed in 20 consecutive months (July 1, 2018-February 29, 2020) was performed. Indications for: FB and NIV, as well as impact of comorbidities, blood gas results, pulmonary function test results and sedation depth, were analyzed to reveal NIV-FB risk. Out of a total of 713 FBs, NIV-FB was performed in 50 patients with multiple comorbidities, acute or chronic RF, substantial tracheal narrowing, or after previously unsuccessful FB attempt. In three cases, reversible complications were observed. Additionally, due to the severity of underlining disease, two patients were transferred to the ICU where they passed away after >48h. In a single variable analysis, PaO NIV-FB is safe in severely ill patients, however procedure-related risk should be further defined and verified in prospective studies.

Identifiants

DOI: 10.1016/j.advms.2021.04.001 PMID: 33892212
pubmed: 33892212
pii: S1896-1126(21)00021-3
doi: 10.1016/j.advms.2021.04.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

246-253

Informations de copyright

Copyright © 2021 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare no conflict of interests.

Auteurs

Szymon Skoczyński (S)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland. Electronic address: simon.mds@poczta.fm.

Maciej Ogonowski (M)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Ewelina Tobiczyk (E)

Department of Respiratory Medicine, Allergology and Pulmonary Oncology, Poznan University of Medical Sciences, Poznan, Poland.

Damian Krzyżak (D)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Grzegorz Brożek (G)

Department of Epidemiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Anna Wierzbicka (A)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Marzena Trzaska-Sobczak (M)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Ewa Trejnowska (E)

Department of Cardiac Anaesthesia and Intensive Care, Silesian Centre for Heart Diseases in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.

Aleksandra Studnicka (A)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Andrzej Swinarew (A)

Faculty of Science and Technology, University of Silesia in Katowice, 75 Pułku Piechoty 1A, 41-500, Chorzów, Poland; Department of Swimming and Water Rescue, Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.

Ewa Kucewicz-Czech (E)

Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland.

Danuta Gierek (D)

Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland.

Wojciech Rychlik (W)

Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland.

Adam Barczyk (A)

Department of Pneumonology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Procédures de chirurgie pulmonaire › Bronchoscopie › Risk factors of complications during...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Risk factors of complications during...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation non effractive › Risk factors of complications during...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Risk factors of complications during...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Risk factors of complications during...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Risk factors of complications during...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Risk factors of complications during...