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Related Experiment Videos

Bronchoscopy in the critical-care unit.

C O Olopade1, U B Prakash

  • 1Division of Thoracic Diseases, Mayo Clinic, Rochester, MN 55905.

Mayo Clinic Proceedings
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

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Flexible fiberoptic bronchoscopy (FFB) is a safe and useful diagnostic and therapeutic tool in the critical-care unit (CCU). This procedure significantly aided patient management in 41% of cases, with minimal complications.

Area of Science:

  • Pulmonology
  • Critical Care Medicine

Background:

  • Flexible fiberoptic bronchoscopy (FFB) is frequently utilized in critical care settings.
  • Its diagnostic and therapeutic utility, alongside safety, requires ongoing evaluation in the intensive care unit (ICU) population.

Purpose of the Study:

  • To assess the diagnostic and therapeutic value of FFB in critical-care unit (CCU) patients.
  • To evaluate the safety profile of FFB in this specific patient cohort.

Main Methods:

  • A retrospective review of all FFB procedures performed in a CCU between 1985 and 1988.
  • Analysis of 198 FFB procedures in 129 patients, focusing on indications, outcomes, and complications.

Main Results:

  • FFB was performed for diagnostic, therapeutic, or combined purposes in 129 patients.

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  • The procedure influenced patient management in 41% of cases, with diagnostic cultures yielding positive results in 38% but impacting management in only 25%.
  • Seven transient complications occurred, with no associated mortality.

    • Conclusions:

    • FFB is a safe procedure in the critical-care setting.
    • FFB offers substantial diagnostic and therapeutic benefits, contributing significantly to patient management in the CCU.