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Updated: Aug 2, 2026
04:47
Systematic Bronchoscopy: the Four Landmarks Approach
Published on: June 23, 2023
Management of hypoxemia during flexible bronchoscopy
Prashant N Chhajed1, Allan R Glanville
1Lung Transplant Unit, St. Vincent's Hospital, Xavier Building, Level 4, Victoria Street, Darlinghurst, Sydney, NSW 2010, Australia. chhajed@hotmail.com
Clinics in Chest Medicine
|October 11, 2003
Summary
Flexible bronchoscopy (FB) is generally safe, but hypoxemia can occur. Upper airway obstruction (UAO) is the main cause, effectively managed with nasopharyngeal tubes during FB procedures.
Area of Science:
- Pulmonology
- Anesthesiology
Background:
- Flexible bronchoscopy (FB) is a common diagnostic and therapeutic procedure.
- While generally safe, FB can be associated with adverse events, notably hypoxemia.
Purpose of the Study:
- To evaluate the safety and adverse events associated with flexible bronchoscopy.
- To identify the primary causes of hypoxemia during FB and their management.
Main Methods:
- Review of FB procedures performed under controlled conditions.
- Analysis of adverse events, focusing on hypoxemia and its contributing factors.
Main Results:
- FB is a safe procedure with a low incidence of significant adverse events.
- Upper airway obstruction (UAO) is the dominant cause of hypoxemia during FB.
- Nasopharyngeal tube insertion is an effective management strategy for UAO-induced hypoxemia.
Conclusions:
- Flexible bronchoscopy can be performed safely with appropriate management strategies.
- Prompt recognition and management of UAO are crucial for preventing and treating hypoxemia during FB.
- Availability of specific equipment and personnel can enhance patient safety during bronchoscopy.
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