Role of bronchoscopy in critically ill patients managed in intermediate care units - indications and complications: A narrative review.
Bronchoalveolar lavage
COVID-19
Complication
Critically ill
Flexible bronchoscopy
Indication
Journal
World journal of critical care medicine
ISSN: 2220-3141
Titre abrégé: World J Crit Care Med
Pays: United States
ID NLM: 101622182
Informations de publication
Date de publication:
09 Nov 2021
09 Nov 2021
Historique:
received:
15
05
2021
revised:
18
06
2021
accepted:
18
08
2021
entrez:
10
12
2021
pubmed:
11
12
2021
medline:
11
12
2021
Statut:
epublish
Résumé
Flexible bronchoscopy (FB) has become a standard of care for the triad of inspection, sampling, and treatment in critical care patients. It is an invaluable tool for diagnostic and therapeutic purposes in critically ill patients in intensive care unit (ICU). Less is known about its role outside the ICU, particularly in the intermediate care unit (IMCU), a specialized environment, where an intermediate grade of intensive care and monitoring between standard care unit and ICU is provided. In the IMCU, the leading indications for a diagnostic work-up are: To visualize airway system/obstructions, perform investigations to detect respiratory infections, and identify potential sources of hemoptysis. The main procedures for therapeutic purposes are secretion aspiration, mucus plug removal to solve atelectasis (total or lobar), and blood aspiration during hemoptysis. The decision to perform FB might depend on the balance between potential benefits and risks due to frailty of critically ill patients. Serious adverse events related to FB are relatively uncommon, but they may be due to lack of expertise or appropriate precautions. Finally, nowadays, during dramatic recent coronavirus disease 2019 (COVID-19) pandemic, the exact role of FB in COVID-19 patients admitted to IMCU has yet to be clearly defined. Hence, we provide a concise review on the role of FB in an IMCU setting, focusing on its indications, technical aspects and complications.
Identifiants
pubmed: 34888159
doi: 10.5492/wjccm.v10.i6.334
pmc: PMC8613715
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
334-344Informations de copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: Authors certify that there is no conflict of interest related to the manuscript.
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