Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane
ABSTRACT Objective: To report the experience of performing bronchoscopy in patients who underwent supportive therapy with extracorporeal membrane oxygenation in whom the bronchoscopy was performed. Methods: This was a review of medical records of patients diagnosed with extracorporeal membrane oxy...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2022-05-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100258&lng=en&tlng=en |
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| author | Camila França Redivo Evelise Lima Anarégia de Pontes Ferreira Paulo Rogério Scordamaglio Silvia Vidal Campos Yeh-Li Ho Ascédio José Rodrigues |
| author_facet | Camila França Redivo Evelise Lima Anarégia de Pontes Ferreira Paulo Rogério Scordamaglio Silvia Vidal Campos Yeh-Li Ho Ascédio José Rodrigues |
| author_sort | Camila França Redivo |
| collection | DOAJ |
| description | ABSTRACT Objective: To report the experience of performing bronchoscopy in patients who underwent supportive therapy with extracorporeal membrane oxygenation in whom the bronchoscopy was performed. Methods: This was a review of medical records of patients diagnosed with extracorporeal membrane oxygenation and who required diagnostic or therapeutic bronchoscopy. Records included were related to patients admitted to the intensive care unit of Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo, between 2014 and 2020. Results: During the study, 16 bronchoscopies were performed in 8 patients admitted to the intensive care unit and who underwent supportive therapy with extracorporeal membrane oxygenation. The mean age of patients was 28.37 years. Four patients were women (50%). A total of 5 (31.25%) therapeutic bronchoscopies and 11 (68.75%) diagnostics were performed. In 5 of patients, material was collected: 4 samples of bronchoalveolar lavage, three collections of transbronchial biopsies, and 1 of endobronchial biopsies. No patient had radiological worsening or hemodynamic complications. One patient (6.25%) had transient desaturation. There was moderate bleeding after transbronchial biopsy in 1 (6.25%) procedure, which was resolved endoscopically. Conclusion: Patients undergoing extracorporeal membrane oxygenation can safely perform diagnostic or therapeutic bronchoscopy provided that they have a detailed indication. Procedures were performed by a specialized bronchoscopy team in intensive care environment and with the assistance of a qualified multidisciplinary team in membrane oxygenation therapy extracorporeal. |
| first_indexed | 2024-04-12T10:54:15Z |
| format | Article |
| id | doaj.art-648719c7666148afa78d4b9e694d8efe |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-04-12T10:54:15Z |
| publishDate | 2022-05-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-648719c7666148afa78d4b9e694d8efe2022-12-22T03:36:07ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852022-05-012010.31744/einstein_journal/2022ao6666Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membraneCamila França Redivohttps://orcid.org/0000-0002-0766-8850Evelise Limahttps://orcid.org/0000-0002-8368-2128Anarégia de Pontes Ferreirahttps://orcid.org/0000-0001-9728-6348Paulo Rogério Scordamagliohttps://orcid.org/0000-0001-8971-5333Silvia Vidal Camposhttps://orcid.org/0000-0003-3297-5948Yeh-Li Hohttps://orcid.org/0000-0001-8719-2508Ascédio José Rodrigueshttps://orcid.org/0000-0003-2725-9242ABSTRACT Objective: To report the experience of performing bronchoscopy in patients who underwent supportive therapy with extracorporeal membrane oxygenation in whom the bronchoscopy was performed. Methods: This was a review of medical records of patients diagnosed with extracorporeal membrane oxygenation and who required diagnostic or therapeutic bronchoscopy. Records included were related to patients admitted to the intensive care unit of Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo, between 2014 and 2020. Results: During the study, 16 bronchoscopies were performed in 8 patients admitted to the intensive care unit and who underwent supportive therapy with extracorporeal membrane oxygenation. The mean age of patients was 28.37 years. Four patients were women (50%). A total of 5 (31.25%) therapeutic bronchoscopies and 11 (68.75%) diagnostics were performed. In 5 of patients, material was collected: 4 samples of bronchoalveolar lavage, three collections of transbronchial biopsies, and 1 of endobronchial biopsies. No patient had radiological worsening or hemodynamic complications. One patient (6.25%) had transient desaturation. There was moderate bleeding after transbronchial biopsy in 1 (6.25%) procedure, which was resolved endoscopically. Conclusion: Patients undergoing extracorporeal membrane oxygenation can safely perform diagnostic or therapeutic bronchoscopy provided that they have a detailed indication. Procedures were performed by a specialized bronchoscopy team in intensive care environment and with the assistance of a qualified multidisciplinary team in membrane oxygenation therapy extracorporeal.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100258&lng=en&tlng=enExtracorporeal membrane oxygenationBronchoscopyRespiratory distress syndromeIntensive care units |
| spellingShingle | Camila França Redivo Evelise Lima Anarégia de Pontes Ferreira Paulo Rogério Scordamaglio Silvia Vidal Campos Yeh-Li Ho Ascédio José Rodrigues Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane Einstein (São Paulo) Extracorporeal membrane oxygenation Bronchoscopy Respiratory distress syndrome Intensive care units |
| title | Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| title_full | Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| title_fullStr | Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| title_full_unstemmed | Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| title_short | Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| title_sort | flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane |
| topic | Extracorporeal membrane oxygenation Bronchoscopy Respiratory distress syndrome Intensive care units |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100258&lng=en&tlng=en |
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