bronchoscopy complications


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Related to bronchoscopy complications: bronchoscopic

bronchoscopy complications

A bronchoscopic procedure which has gone awry, an event which occurs in 1.3% of cases at a university hospital.  

Bronchoscopy complications  
Instrument-related
▪ Common—haemorrhage, pneumothroax, pulmonary infiltrates;
▪ Rare—air embolism, mediastinal emphysema.
 
Medication/premedication
▪ Common—respiratory depression, laryngospasm;
▪ Rare—bronchospasm, excitability, seizures, hypotension, syncope, cardiorespiratory arrest.

Procedural
▪ Common—laryngospasm, bronchospasm, hypoxia;
▪ Rare—arrhythmia, fever, bacteremia, pneumonia.
 
Technical
▪ Rare—airway, vascular trauma, instrument breakage.

bronchoscopy

Fiberoptic bronchoscopy The use of a flexible endoscope to directly examine the upper airways, vocal cords, and the tracheobronchial tree to the 4th to 6th division; bronchoscopy is used to evaluate suspected malignancy or infections, hemoptysis, persistent coughing, and occasionally to take biopsies–transbronchial and cytology–eg, bronchial washings, specimen culture and to remove foreign bodies in the upper airways; bronchoscopy should not be performed unless absolutely necessary in Pts with asthma, severe hypoxia, unstable angina pectoris, or recent MI. See Bronchoalveolar lavage, Laser bronchoscopy.
Bronchoscopy complications
Instrument-related
Common–hemorrhage, pneumothroax, pulmonary infiltrates; rare–air embolism, mediastinal emphysema
Medication/premedication
Common–respiratory depression, laryngospasm; rare–bronchospasm, excitability, seizures, hypotension, syncope, cardiorespiratory arrest
Procedural
Common–laryngospasm, bronchospasm, hypoxia; uncommon–arrhythmia, fever, bacteremia, pneumonia
Technical
Rare–airway, vascular trauma, instrument breakage (Fishman 2nded, 1989, p458)
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