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Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
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Selection of the access channel in bronchoscopic intervention
Hui Chen1, Yang Yao1, Shengyu Wang1
1Department of Pulmonary and Critical Care Medicine, First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi, China.
Expert Review of Respiratory Medicine
|June 13, 2022
Summary
Choosing the right airway access for central airway obstruction (CAO) procedures is key. Endotracheal intubation, laryngeal mask, and rigid bronchoscopy each have pros and cons, requiring patient-specific assessment.
Area of Science:
- Pulmonology
- Interventional Bronchoscopy
- Airway Management
Background:
- Bronchoscopic intervention is a vital treatment for central airway obstruction (CAO).
- Selecting the optimal access channel for bronchoscopic procedures in CAO patients is a critical research area.
Purpose of the Study:
- To evaluate the effectiveness and safety of different access channels used in bronchoscopic interventions for CAO.
Main Methods:
- Retrospective review of bronchoscopic interventions in 201 patients with CAO.
- Analysis of data where endotracheal intubation, laryngeal mask, or rigid bronchoscope served as the sole access channel.
Main Results:
- The overall immediate effective rate was 94.1%.
- Complications occurred in 16.8% of cases, with glottic edema (7.8%) being the most frequent, particularly with laryngeal mask and rigid bronchoscope use, and correlated with procedure time.
- Massive bleeding remains the most severe access-related complication.
Conclusions:
- Endotracheal intubation, laryngeal mask, and rigid bronchoscope offer distinct advantages and disadvantages for CAO treatment.
- The selection of the most appropriate access channel necessitates a thorough patient evaluation.
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