Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study
Background Interventional bronchoscopy for hypoxemic patients with central airway obstruction (CAO) is typically performed under general anesthesia. This approach poses remarkable challenge for both bronchoscopist and anesthesiologist. Noninvasive ventilation (NIV) during flexible bronchoscopy (FB)...
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PeerJ Inc.
2020-04-01
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| author | Xiaoke Chen Yiping Zhou Haiqiong Yu Yue Peng Liping Xia Nian Liu Hairong Lin |
| author_facet | Xiaoke Chen Yiping Zhou Haiqiong Yu Yue Peng Liping Xia Nian Liu Hairong Lin |
| author_sort | Xiaoke Chen |
| collection | DOAJ |
| description | Background Interventional bronchoscopy for hypoxemic patients with central airway obstruction (CAO) is typically performed under general anesthesia. This approach poses remarkable challenge for both bronchoscopist and anesthesiologist. Noninvasive ventilation (NIV) during flexible bronchoscopy (FB) has been successfully used in hypoxemic patients, but rarely in the treatment of hypoxemic patients with CAO. Objective To evaluate the feasibility of therapeutic FB assisted with NIV for therapy of hypoxemic patients with CAO. Method Twenty-nine hypoxemic CAO patients treated with FB from December 2010 to May 2016 in our hospital were retrospectively reviewed, either aided with NIV under sedation (NIV group ) or through artificial airway under general anesthesia (control group). Interventional procedures included balloon dilation, electrocautery and argon plasma coagulation Result Fifteen patients were enrolled in the NIV group and 14 in the control group. The success rate (93.3% VS 92.9%, p = 1.0), procedure time (60.5 ± 4.2 min VS 67.8 ± 5.6 min, p = 0.31) and oxygenation improvement between the two groups have no significant difference. Less reduction of systolic blood pressure and heart rate during procedure was observed in the NIV group. The NIV group showed shorter admission time before procedure than the control group (35.1 ± 4.6 h VS 55.6 ± 5.6 h, p < 0.01). In addition, procedure fee in the NIV group was significantly less than that in the control group (540.7 ± 62.8$ VS975.4 ± 69.5$, p < 0.0001). Conclusion FB assisted with NIV is a safe, efficient and economic method for therapy of selected hypoxemic patients with CAO. |
| first_indexed | 2024-03-09T06:52:54Z |
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| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:52:54Z |
| publishDate | 2020-04-01 |
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| spelling | doaj.art-2305b655be0e4e9d9c5f4e6609a50b8b2023-12-03T10:14:57ZengPeerJ Inc.PeerJ2167-83592020-04-018e868710.7717/peerj.8687Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective studyXiaoke Chen0Yiping Zhou1Haiqiong Yu2Yue Peng3Liping Xia4Nian Liu5Hairong Lin6Department of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Anesthesia, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaDepartment of Respiratory Medicine, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaBackground Interventional bronchoscopy for hypoxemic patients with central airway obstruction (CAO) is typically performed under general anesthesia. This approach poses remarkable challenge for both bronchoscopist and anesthesiologist. Noninvasive ventilation (NIV) during flexible bronchoscopy (FB) has been successfully used in hypoxemic patients, but rarely in the treatment of hypoxemic patients with CAO. Objective To evaluate the feasibility of therapeutic FB assisted with NIV for therapy of hypoxemic patients with CAO. Method Twenty-nine hypoxemic CAO patients treated with FB from December 2010 to May 2016 in our hospital were retrospectively reviewed, either aided with NIV under sedation (NIV group ) or through artificial airway under general anesthesia (control group). Interventional procedures included balloon dilation, electrocautery and argon plasma coagulation Result Fifteen patients were enrolled in the NIV group and 14 in the control group. The success rate (93.3% VS 92.9%, p = 1.0), procedure time (60.5 ± 4.2 min VS 67.8 ± 5.6 min, p = 0.31) and oxygenation improvement between the two groups have no significant difference. Less reduction of systolic blood pressure and heart rate during procedure was observed in the NIV group. The NIV group showed shorter admission time before procedure than the control group (35.1 ± 4.6 h VS 55.6 ± 5.6 h, p < 0.01). In addition, procedure fee in the NIV group was significantly less than that in the control group (540.7 ± 62.8$ VS975.4 ± 69.5$, p < 0.0001). Conclusion FB assisted with NIV is a safe, efficient and economic method for therapy of selected hypoxemic patients with CAO.https://peerj.com/articles/8687.pdfBronchoscopy |
| spellingShingle | Xiaoke Chen Yiping Zhou Haiqiong Yu Yue Peng Liping Xia Nian Liu Hairong Lin Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study PeerJ Bronchoscopy |
| title | Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study |
| title_full | Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study |
| title_fullStr | Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study |
| title_full_unstemmed | Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study |
| title_short | Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study |
| title_sort | feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with central airway obstruction a retrospective study |
| topic | Bronchoscopy |
| url | https://peerj.com/articles/8687.pdf |
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