[How bothersome is fiber bronchoscopy under local anesthesia?].
All the 79 (7.4%) complications of 1066 fiberoptic bronchoscopies performed under standardized topical anaesthesia in in- and outpatients were analyzed retrospectively. With the 4.9 mm bronchoscope the transnasal route was possible in all cases, and with the 6.0 mm bronchoscope in 92%. There were no deaths and no major complications, with the exception of one tension-pneumothorax, one pneumonia, one pulmonary edema and one 500 ml hemorrhage. The most frequent complications were minor hemorrhages (4.1%) which occurred mainly after biopsies and were rarely recognized by the patients. laryngospasms (1.5%) and bronchospasms (1.4%). The rate of complications was higher in patients with a FEV1 of less than 60% predicted (p = 0.02) and in patients with a pO2 below 50 mm Hg (p = 0.06). We recommend the administration of oxygen during fiberoptic bronchoscopy. Fever within 36 hours after bronchoscopy was observed in 12% and subsided without antibiotic therapy. In the light of these risks, patients should be informed prior to the procedure of the possible occurrence of shortness of breath, hemorrhage and fever.
D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D001999:Bronchoscopy / Q000009:adverse effects*; D004417:Dyspnea / Q000209:etiology; D005069:Evaluation Studies as Topic; D005334:Fever / Q000209:etiology; D005336:Fiber Optic Technology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology; D008875:Middle Aged; D011292:Premedication; D012189:Retrospective Studies
Wie belastend ist die Fiberbronchoskopie in Lokalanästhesie?