Bronchoscopy in The Respiratory Intensive Care Unit: A 4-Year Review

Pervin Hancı; Berfin Karadaş; Ethem Yıldız; Erhan Tabakoglu

Makale detayları

Bronchoscopy in The Respiratory Intensive Care Unit: A 4-Year Review

Yazarlar:

Pervin Hancı | Berfin Karadaş | Ethem Yıldız | Erhan Tabakoglu

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Göğüs Hastalıkları | Yoğun Bakım

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 6, pp.982-989

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350921

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 Bronchoscopy is a valuable diagnostic and therapeutic procedure in intensive care units ICUs, but real-world data regarding its application and safety in critically ill patients remain limited. This study aimed to evaluate the indications, findings, complications, and microbiological outcomes of bronchoscopy in an ICU setting. This retrospective study included 152 ICU patients who underwent 227 bronchoscopy procedures between July 2020 and November 2024. Demographic characteristics, procedural indications, oxygen support modalities, microbiological results, and complication rates were recorded. The median age of patients was 68 IQR: 5975 years, and 64.5 were male. Bronchoscopy was most frequently performed for the clearance of secretions and the treatment of atelectasis. Complete or partial resolution of atelectasis was achieved in 92.6 of such cases. Infectious pathogens were identified in 34.8 of all procedures. The most common complication was hypoxemia 12.8, followed by arrhythmias 3.1 and hemodynamic instability 1.8. No serious adverse events were reported. No statistically significant difference in complication rates was observed between oxygen support groups. Bronchoscopy is a safe and effective tool for both diagnostic and therapeutic purposes in ICU patients when performed by experienced teams. Careful patient selection and appropriate oxygenation strategies are critical to minimise complications, especially hypoxemia.

 Bronchoscopy is a valuable diagnostic and therapeutic procedure in intensive care units ICUs, but real-world data regarding its application and safety in critically ill patients remain limited. This study aimed to evaluate the indications, findings, complications, and microbiological outcomes of bronchoscopy in an ICU setting. This retrospective study included 152 ICU patients who underwent 227 bronchoscopy procedures between July 2020 and November 2024. Demographic characteristics, procedural indications, oxygen support modalities, microbiological results, and complication rates were recorded. The median age of patients was 68 IQR: 5975 years, and 64.5 were male. Bronchoscopy was most frequently performed for the clearance of secretions and the treatment of atelectasis. Complete or partial resolution of atelectasis was achieved in 92.6 of such cases. Infectious pathogens were identified in 34.8 of all procedures. The most common complication was hypoxemia 12.8, followed by arrhythmias 3.1 and hemodynamic instability 1.8. No serious adverse events were reported. No statistically significant difference in complication rates was observed between oxygen support groups. Bronchoscopy is a safe and effective tool for both diagnostic and therapeutic purposes in ICU patients when performed by experienced teams. Careful patient selection and appropriate oxygenation strategies are critical to minimise complications, especially hypoxemia.

 Bronchoscopy is a valuable diagnostic and therapeutic procedure in intensive care units ICUs, but real-world data regarding its application and safety in critically ill patients remain limited. This study aimed to evaluate the indications, findings, complications, and microbiological outcomes of bronchoscopy in an ICU setting. This retrospective study included 152 ICU patients who underwent 227 bronchoscopy procedures between July 2020 and November 2024. Demographic characteristics, procedural indications, oxygen support modalities, microbiological results, and complication rates were recorded. The median age of patients was 68 IQR: 5975 years, and 64.5 were male. Bronchoscopy was most frequently performed for the clearance of secretions and the treatment of atelectasis. Complete or partial resolution of atelectasis was achieved in 92.6 of such cases. Infectious pathogens were identified in 34.8 of all procedures. The most common complication was hypoxemia 12.8, followed by arrhythmias 3.1 and hemodynamic instability 1.8. No serious adverse events were reported. No statistically significant difference in complication rates was observed between oxygen support groups. Bronchoscopy is a safe and effective tool for both diagnostic and therapeutic purposes in ICU patients when performed by experienced teams. Careful patient selection and appropriate oxygenation strategies are critical to minimise complications, especially hypoxemia.

 Bronkoskopi, yoğun bakım ünitelerinde YBÜ değerli bir tanı ve tedavi prosedürüdür, ancak kritik hastalarda uygulanması ve güvenliği ile ilgili gerçek dünya verileri sınırlıdır. Bu çalışma, YBÜ ortamında bronkoskopinin endikasyonlarını, bulgularını, komplikasyonlarını ve mikrobiyolojik sonuçlarını değerlendirmek amacıyla yapılmıştır. Bu retrospektif çalışmaya, Temmuz 2020 ile Kasım 2024 arasında 227 bronkoskopi prosedürü uygulanan 152 YBÜ hastası dahil edildi. Demografik özellikler, prosedür endikasyonları, oksijen desteği yöntemleri, mikrobiyolojik sonuçlar ve komplikasyon oranları kaydedildi. Hastaların medyan yaşı 68 IQR: 5975 yıl idi ve 64,5i erkekti. Bronkoskopi en sık sekresyonların temizlenmesi ve atelektazinin tedavisi için uygulandı. Bu vakaların 92,6sında atelektazinin tamamen veya kısmen düzelmesi sağlandı. Tüm prosedürlerin 34,8inde enfeksiyöz patojenler tespit edildi. En sık görülen komplikasyon hipoksemi 12,8 idi, bunu aritmiler 3,1 ve hemodinamik instabilite 1,8 izledi. Ciddi advers olaylar bildirilmedi. Oksijen destek grupları arasında komplikasyon oranlarında istatistiksel olarak anlamlı bir fark gözlenmedi. Bronkoskopi, deneyimli ekipler tarafından uygulandığında yoğun bakım hastalarında hem tanı hem de tedavi amaçlı güvenli ve etkili bir araçtır. Komplikasyonları, özellikle hipoksemiyi en aza indirmek için dikkatli hasta seçimi ve uygun oksijenasyon stratejileri çok önemlidir.

Makale detayları

Bronchoscopy in The Respiratory Intensive Care Unit: A 4-Year Review

Yazarlar:

Pervin Hancı | Berfin Karadaş | Ethem Yıldız | Erhan Tabakoglu

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Göğüs Hastalıkları | Yoğun Bakım

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 6, pp.982-989

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350921

pISSN:

1305-4953

Bronchoscopy

Intensive Care Unit

Oxygen inhalation therapyBronkoskopi

Yoğun Bakım Ünitesi

Oksijen inhalasyon tedavisi

Sayı

Makale detayları

Bronchoscopy in The Respiratory Intensive Care Unit: A 4-Year Review

Yazarlar: Pervin Hancı | Berfin Karadaş | Ethem Yıldız | Erhan Tabakoglu

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Göğüs Hastalıkları | Yoğun Bakım

Dergi: Osmangazi Tıp Dergisi Vol.47 Issue 6, pp.982-989

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001350921

pISSN: 1305-4953

Bronchoscopy

Intensive Care Unit

Oxygen inhalation therapyBronkoskopi

Yoğun Bakım Ünitesi

Oksijen inhalasyon tedavisi

Sayı

Yazarlar:

Pervin Hancı | Berfin Karadaş | Ethem Yıldız | Erhan Tabakoglu

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Göğüs Hastalıkları | Yoğun Bakım

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 6, pp.982-989

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350921

pISSN:

1305-4953