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Práctica de oxigenación y soporte respiratorio durante la broncoscopia por fibra óptica: el protocolo del estudio
Federico Longhini1, Claudia Crimi2, Alberto Noto3
1Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy flonghini@unicz.it.
BMJ open
|September 2, 2025
Resumen
Este estudio examina los métodos de oxigenación y ventilación durante la broncoscopia flexible (BF) en Europa. Su objetivo es comprender el uso en el mundo real y el impacto de estas estrategias en los resultados y complicaciones de los pacientes.
Área de la Ciencia:
- Medicina de los pulmones
- Cuidado de las vías respiratorias
- Cuidados intensivos
Sus antecedentes:
- La broncoscopia flexible (FB) es un procedimiento común en la medicina pulmonar.
- La fibrilación auricular conlleva riesgos de complicaciones respiratorias y hemodinámicas, especialmente en pacientes con comorbilidades.
- Las pruebas actuales sobre la aplicación en el mundo real y el impacto de las estrategias de oxigenación y ventilación durante la FB son limitadas.
Objetivo del estudio:
- Evaluar la prevalencia de diversas estrategias de oxigenación y apoyo ventilatorio durante la FP en los centros europeos.
- Evaluar los resultados clínicos y el impacto de estas estrategias en los pacientes sometidos a FB.
Principales métodos:
- Se trata de un estudio de cohorte internacional prospectivo de gran envergadura en el que han participado más de 10 000 procedimientos de FB.
- Datos recopilados a través de formularios electrónicos estandarizados de informes de casos, incluidos datos demográficos, detalles del procedimiento y resultados clínicos.
- El criterio de valoración primario: prevalencia de diferentes estrategias de oxigenación/ventilación; resultados secundarios: eventos peri-procedurarios, comodidad del paciente y complicaciones post-procedurarias.
Principales resultados:
- El estudio informará sobre la prevalencia de la oxigenoterapia convencional, la oxigenoterapia de alto flujo, la CPAP, la NIV y la ventilación invasiva durante la FB.
- El análisis incluirá eventos respiratorios y hemodinámicos peri-procedurales, comodidad del paciente y complicaciones post-procedurales.
- Los análisis estadísticos incluyen estadísticas descriptivas, comparaciones de subgrupos y regresión logística multivariada.
Conclusiones:
- El estudio OxyFOB proporcionará datos valiosos del mundo real sobre la oxigenación y la ventilación durante el FB.
- Los hallazgos servirán de base para la práctica clínica y las directrices para el tratamiento de pacientes sometidos a broncoscopia flexible.
- El estudio contribuye a comprender el impacto de las estrategias de apoyo en la seguridad y los resultados de los pacientes.
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