Semiha ORHAN, Aydın BALCI, Bilge Banu TAŞDEMİR MECİT, Kemal Yetiş GÜLSOY

ERİŞKİN YOĞUN BAKIM ÜNİTESİNDE FLEKSİBL FİBEROPTİK BRONKOSKOPİ KULLANIMI / YARARLARI

AMAÇ: Fleksibl fiberoptik bronkoskopi (FOB); yoğun bakım ünitesinde hem tanı ve hem de tedavi amaçlı olarak yaygın kullanılmaktadır. Bu çalışmada; yoğun bakım ünitemizde yapılan FOB’ların endikasyonları, tanı ve tedaviye katkılarının değerlendirilmesi amaçlanmıştır.GEREÇ VE YÖNTEM: Bu prospektif çalışmya Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi yoğun bakım ünitesinde, Ekim 2021 ve Mart 2022 tarihleri arasında, yatırılarak FOB işlemi yapılan 30 hasta dahil edildi. Tüm hastaların yaş, cinsiyet, FOB endikasyonları, FOB işlemine ait komplikasyonlar, işlem öncesi ve işlem sonrası oksijen satürasyonları ve PaO2 verileri değerlendirildi.BULGULAR: Çalışmaya alınan hastaların 23‘ü (%76,7) erkekti. Bronskopi endikasyonları incelendiğinde hastaların %83,3'ünün hastada mukus sekresyon temizlenmesi, %10’unun atelektazi ve %6,7’sinin ise kanama odağı belirlenmesi için yapıldığı görüldü. İşlem sırasında 11 (%36,7) hastada satürasyon düşüklüğü vardı. FOB sonrası, arteryel kan gazında PaO2 değerlerinde istatistiksel olarak anlamlı artış saptandı.SONUÇ: Fiberoptik fleksibl bronkoskopi, yoğun bakım ünitelerinde çeşitli endikasyonlar için uygulanan bir işlemdir. Çalışmamızda bronkoskopinin komplikasyon oranının düşük olduğunu ve hastaların tanı ve tedavisine katkı sağladığını gözlemledik.

Anahtar Kelimeler:

Fiberoptik bronkoskopi, Yoğun bakım, Mukus sekresyon temizliği

USAGE/UTILITY OF FLEXIBLE FIBEROPTIC BRONCHOSCOPY IN ADULT INTENSIVE CARE UNIT

OBJECTIVE: Flexible fiberoptic bronchoscopy (FOB) is a method widely used in the intensive care unit for both diagnosis and treatment. The aim of this study was to evaluate the indications of FOBs performed in the adult intensive care unit and their contribution to diagnosis and treatment.MATERIAL AND METHODS: Thirty patients who were hospitalized in intensive care unit of Afyonkarahisar Health Sciences University Faculty of Medicine between October 2021 and March 2022 and underwent fiberoptic bronchoscopy were included in this prospective study. The patients age, gender, bronchoscopy indications, complications, pre- and post-procedural oxygen saturations and PaO2 values were analyzed.RESULTS: Twenty three patients (76.7%) were male. When the indications for bronchoscopy were examined, it was observed that 83.3% of the patients were performed for mucus secretion clearance, 10% for atelectasis, and 6.7% for the determination of the bleeding focus. There was low saturation during the procedure in 11 (36.7%) patients. It was observed that there was a statistically significant increase in the PaO2 values measured in arterial blood gas after fiberoptic bronchoscopy.CONCLUSIONS: Fiberoptic flexible bronchoscopy is a procedure applied in intensive care units for various indications. In our study, we observed that the complication rate of bronchoscopy was low and contributed to the diagnosis and treatment of patients.

Keywords:

Fiberoptic bronchoscopy, Intensive care unit, Mucus secretion removal,

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