A Prospective Observational Study on the Tolerability of Transnasal Bronchoscopy With a Surgical Mask for Aerosol Control.

aerosol control cough frequency covid-19 flexible bronchoscopy pain score questionnaire trans-nasal bronchoscopy with surgical mask

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2022
Historique:
accepted: 19 08 2022
entrez: 26 9 2022
pubmed: 27 9 2022
medline: 27 9 2022
Statut: epublish

Résumé

Background As far as we know, there are no reports comparing the safety and cough frequency of transnasal bronchoscopy (TNB) with transoral bronchoscopy (TOB). Methods The subjects were 50 patients who underwent either TNB or TOB and completed the pain score questionnaire between May and November 2020. Complications, pain scores, and cough frequency (times per minute) were compared between the patients with TNB and TOB. A surgical mask was worn over the mouthpiece during the examination. Results Thirty-two and 18 patients underwent TNB and TOB, respectively. Between the two groups, there were no significant differences in examination time and frequency of serious complications. In pain scores, there were no significant differences in terms of anesthesia suffering, several pains during the examination, and availability of re-examination. The TNB group did not feel the prolonged examination time compared to the TOB group (p=0.04). Cough frequency was lower in the TNB group than in the TOB group (0.36 vs 0.73, p=0.027). Moreover, cough frequency in the 25 TNB patients who underwent thin bronchoscopy was significantly lower (0.19 vs 0.73, p<0.01). Conclusions TNB with a surgical mask was well tolerated and safe. Cough frequency in the transnasal thin bronchoscopy was extremely low, suggesting aerosol reduction can be expected.

Identifiants

pubmed: 36158445
doi: 10.7759/cureus.28197
pmc: PMC9484221
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e28197

Informations de copyright

Copyright © 2022, Usui et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Yusuke Usui (Y)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.
Division of Respiratory Medicine, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, JPN.

Shinji Sasada (S)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.
Department of Pulmonology, The Fraternity Memorial Hospital, Tokyo, JPN.

Keisuke Kirita (K)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Sayaka Nagayama (S)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Saori Murata (S)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Yumi Tsuchiya (Y)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Kota Ishioka (K)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Saeko Takahashi (S)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Morio Nakamura (M)

Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, JPN.

Kazuma Kishi (K)

Division of Respiratory Medicine, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, JPN.

Classifications MeSH