title: [Emergency interventional bronchoscopies].
abstract: An emergency interventional endoscopic procedure is often the only way to overcome an asphyxic or pre-asphyxic situation. From November 1978 to June 2010 we performed 9950 interventional endoscopies among which 20% were performed in an emergency context. To obtain a homogeneous study group, we reviewed the last four years. 344 interventional emergency endoscopies were done for the following indications: cancers (n=240, 70%), iatrogenic stenosis (n=63, 18%), foreign bodies (n=29, 8.5%), hemoptysis (12, 3.5%). The same technique was used in all cases: operating room, general anesthesia, rigid bronchoscope, laser, cryotherapy. Outcome was favorable in 85% of cancers and 100% in all other indications. Apart from clear-cut cases, it remains difficult to define the true emergency. Whatever the definition retained, a well-trained anesthetic and endoscopic team is crucial for proper intervention in these potentially life-threatening situations.
authors.affiliation: Unité D'endoscopie, Service de Chirurgie Thoracique, Hôpital Foch, 40, rue Worth, 92151 Suresnes, France. a.colchen@hopital-foch.org
authors.forename: A
authors.initials: A
authors.lastname: Colchen
authors.forename: M
authors.initials: M
authors.lastname: Fischler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000628:therapy*; D001999:Bronchoscopy; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged