Role of Toilet Bronchoscopy in RICU

Launched by ASSIUT UNIVERSITY · Mar 11, 2021

Keywords

ClinConnect Summary

Aim Of Work To study the value of toilet bronchoscopy in

1. Mechanical ventilated patients with chest disease and copious secretion.
2. Mechanical ventilated patients diagnosed to have atelectasis radiologically.
3. Patients on non-invasive ventilation with chest diseases and copious secretion
4. Compare Different types of mucolytics during toilet bronchoscopy in mechanically ventilated patients.
5. Compare Different types of sedations during toilet bronchoscopy in mechanically ventilated patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • • Patients on mechanical ventilation with underlying dieases that are characterized with mucus overproduction such as asthma, chronic obstructive pulmonary disease (COPD), bronchiectasis, and cystic fibrosis.
• • Patients on mechanical ventilation with visible large amount of sputum during suction in order to clear secretions.
• • Patients on mechanical ventilation with radiologically diagnosed atelectasis and absent air-bronchograms
• • Patient on NIV who was benefit from toilet bronchoscopy to clear retained secretion.
• • Exclusion Criteria:Absolute contraindications
• • Absence of consent from the patient or his/her representative.
• • Inability to adequately oxygenate the patient during the procedure.
• • Current myocardial ischaemia.
• • Significant haemodynamic instability.
• • Life-threatening cardiac arrhythmias.
• • Current significant bronchospasm.
• • Undrained pneumothorax.
• • Relative contraindications
• • Thrombocytopenia (platelet count ≤50,000 platelets/mm).
• • INR of 2 or greater, or an elevated PTT.
• • BUN \>30.
• • severe tracheal obstruction.
• • Recent myocardial ischaemia and/or unstable angina.
• • Intracranial hypertension.
• • Poorly-controlled heart failure.
• • Recent oral intake.