Iatrogenic bleeding during flexible bronchoscopy: risk factors, prophylactic measures and management.

Details

Ressource 1Download: 00084-2016.pdf (529.74 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_BCB120555280
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Iatrogenic bleeding during flexible bronchoscopy: risk factors, prophylactic measures and management.
Journal
ERJ open research
Author(s)
Bernasconi M., Koegelenberg CFN, Koutsokera A., Ogna A., Casutt A., Nicod L., Lovis A.
ISSN
2312-0541 (Print)
ISSN-L
2312-0541
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
3
Number
2
Pages
e1
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Significant iatrogenic bleeding during flexible bronchoscopy is fortunately rare and usually self-limiting. Life-threatening bleeding, however, can occur, especially after conventional or cryoprobe-assisted transbronchial biopsy. The aim of this review is to provide the practising pulmonologist with a concise overview of the incidence, severity and risk factors for bleeding, to provide sensible advice on prophylactic measures and to suggest a plan of action in the case of significant bleeding. Bronchoscopy units should have a standardised approach and plan of action in the case of life-threatening haemorrhage. Wedging the bronchoscope in the bleeding segment, turning the patient in an anti-Trendelenburg position and onto the side in order for the bleeding lung to be in the dependent position, installing vasoconstrictors and using a tamponade balloon early are the recommended first-line strategies. Involving a resuscitation team should be considered early in the case of massive bleeding, desaturation and haemodynamic instability.

Pubmed
Open Access
Yes
Create date
06/07/2017 17:35
Last modification date
20/08/2019 16:30
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