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Abstract: Poster Presentations |

INDICATIONS FOR PERFORMING FIBEROPTIC BRONCHOSCOPY IN THE INTENSIVE CARE UNITS: A RETROSPECTIVE STUDY FREE TO VIEW

Michel Jeannot; Bedilu Woldaregay, MD; Muhammad Gondal, MD; Arshad Ali, MD; Danilo Enriquez, MD; Frances Schmidt, MD; Joseph Quist, MD; Gerald Greenberg, MD; Elsaghir Hend, MD
Author and Funding Information

Interfaith Medical Center, Brooklyn, NY


Chest


Chest. 2008;134(4_MeetingAbstracts):p16001. doi:10.1378/chest.134.4_MeetingAbstracts.p16001
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Abstract

PURPOSE: We aim to review the most common indications for performing fiberoptic bronchoscopy in the ICU settings.

METHODS: We reviewed medical records of patients admitted to the ICU who underwent FOB in our hospital from January 2006 to March 2008.

RESULTS: A total of 58 records were included. FOB was performed for diagnostic purposes in 27 out 58 patients (47%) mainly for diagnosis of pneumonia in 23 out of 58 (40%), airway inspection in 4 out of 58 (7%). FOB was performed for therapeutic reasons; mainly atelectasis in 26 out of 58 patients (45 %), predominantly on the left side in 17 out of 26 patients (65%). Of those 17 patients, 15 had complete collapse of the left side (88%), and 2 had partial collapse (11%). Atelectasis was bilateral in 3 (12%) and right side in 6 (23%). After the procedure, resolution of atelectasis was achieved in 20 out of 26 patients (77%), atelectasis was not resolved in 2 (8%), and the outcome was unknown in 4 (15%). FOB was performed for both therapeutic and diagnostic purposes in 5 out 58 patients (8%).

CONCLUSION: The most common indications for performing FOB in our ICU settings are for resolution of atelectasis in 45%, followed by diagnosis of pneumonia in 40%. FOB is very effective in resolving atelectasis in 77%. Atelectasis was more common on the left side in 65% of the cases.

CLINICAL IMPLICATIONS: FOB is very useful both as diagnostic and therapeutic tools in the ICU. However, further studies are required to evaluate its cost effectiveness.

DISCLOSURE: Michel Jeannot, None.

Tuesday, October 28, 2008

1:00 PM - 2:15 PM


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