Demet KARNAK, Elif KÜPELİ

Bronkoskopi ünitesi

Fleksibl bronkoskopi çoğunlukla üçüncü basamak sağlık hizmeti veren kuruluşlarda ayrı bir bronkoskopi ünitesinde veya genel endoskopi ünitesinde yapılmaktadır. Oluşabilecek komplikasyonlara müdahale edebilmek için gerekli olan iyi eğitilmiş personel ve aletlerin temini ile bronkoskopi herhangi bir yerde yapılabilir. Bu derlemede modern bir bronkoskopi ünitesinin temel unsurlarını literatür bilgileri eşliğinde tartıştık.

Bronchoscopy suite

Flexible bronchoscopy is usually performed at a tertiary care facility in a general endoscopy unit or a specially designed bronchoscopy suite. The procedure can also be performed outside the designated facility if the qualified personnel and required equipment can be mobilized. In this review, we discuss the essentials of a modern bronchoscopy suite based on the available information from the literature.

PDF

___

1. Prakash UBS, Stubbs SE. The bronchoscopy survey: some reflections. Chest 1991; 100: 1660-7.
2. Prakash UBS, Offord KP, Stubbs SE. Bronchoscopy in North America: the ACCP survey. Chest 1991; 100: 1668-75.
3. Prakash UBS, Stelck MJ, Kulas MJ. The bronchoscopy suite, equipment and personel. In: Prakash UBS (ed). Bronchoscopy. New York: Raven Press, 1994: 43-51.
4. Prakash UBS. Bronchoscopy unit, expertise, equipment and personel. In: Bolliger CT, Mathur PN (eds). Interventional Bronchoscopy. Prog Respir Res 2000; 30: 31-43.
5. Parker RL, Haesart SP, Kovnat DM, Bachus B, Snider Gl. Bronchial brushing in bronchogenic carcinoma. Factors influencing cellular yield and diagnostic accuracy. Chest 1977; 71: 341-5.
6. Anders GT, Johnson JE, Bush BA, Matthews JI. Transbronchial biopsy without fluoroscopy. A seven-year perspective. Chest 1988; 94: 557-60.
7. Puar HS, Young RC Jr, Armstrong EM. Bronchial and transbronchial lung biopsy without fluoroscopy in sarcoidosis. Chest 1985; 87: 303-6.
8. Mehta AC, Curtis PS, Scalzitti ML, Meeker DP. The high price of bronchoscopy: maintenance and repair of flexible fiberoptic bronchoscope. Chest 1990; 98: 448-54.
9. Mehta AC, Prakash UB, Garland R, Haponik E, Moses L, Schaffner W, et al. American Collage of Chest Physicians and American Association for Bronchoscopy Consensus Statement prevention of Flexible Bronchoscopy-Associated Infection. Chest 2005; 128: 1742-55.
10. Alfa MJ, DeGagne P, Olson N, Fatima I. EVOTECH endoscope cleaner and reprocessor (ECR) simulated-use and clinical-use evaluation of cleaning efficacy. BMC Infect Dis 2010; 9; 10: 200.
11. Rutala WA. APIC Guideline for selection and use of disinfectans. Am J Infect Control 1996; 24: 313-42.
12. Seballos RJ, Wals AL, Mehta AC. Clinical evaluation of a liquid chemical sterilization system for the flexible bronchoscope. J Bronchol 1995; 2: 192-9.
13. Hanson PJ, Chadwick MV, Gaya H, Collins JV. A study of glutaraldehyde disinfection of fibreoptic bronchoscopes experimentally contaminated with Mycobacterium tuberculosis. J Hosp Infect 1992; 22: 137-42.
14. Gen Y, Hiroki T, Shosaku A. A survey of bronchoscope reprocessing procedure in Japan. Journal of Bronchology 2005; 12: 184-5.
15. Alfa MJ, Olson N, DeGagne P. Automated washing with the Reliance Endoscope Processing System and its equivalence to optimal manual cleaning. Am J Infect Control 2006; 34: 561-70.
16. Rosengarten D, Block C, Hidalgo-Grass C, Temper V, Gross I, Budin-Mizrahi A, et al. Cluster of pseudoinfections with Burkholderia cepacia associated with a contaminated washer-disinfector in a bronchoscopy unit. Infect Control Hosp Epidemiol 2010; 31: 769-71.
17. DiazGranados CA, Jones MY, Kongphet-Tran T, White N, Shapiro M, Wang YF, et al. Outbreak of Pseudomonas aeruginosa infection associated with contamination of a flexible bronchoscope. Infect Control Hosp Epidemiol 2009; 30: 550-5.
18. Southwick KL, Hoffmann K, Ferree K, Matthews J, Salfinger M. Cluster of tuberculosis cases in North Carolina: possible association with atomiser reuse. Am J Infect Control 2001; 29: 1- 6.
19. British Thoracic Society Bronchoscopy Guidelines Commitiee. British Thoracic Society Guidelines on diagnostic flexible bronchoscopy. Thorax 2001; 568 (Suppl 1): i1-i21.
20. Wells WA, Konduri N, Chen C, Lee D, Ignatius HR, Gardiner E, Schwalbe NR. Tuberculosis regimen change in high-burden countries. Int J Tuberc Lung Dis 2010; 14: 1538-47.
21. Koh D, Sng J. Lessons from the past: perspectives on severe acute respiratory syndrome. Asia Pac J Public Health 2010; 22 (Suppl 3): 132S-136S.
22. Ksiazek TG, Erdman D, Goldsmith CS, Zaki SR, Peret T, Emery S, et al. ; SARS Working Group. A novel coronavirus associated with severe acute respiratory syndrome. N Engl J Med 2003; 348: 1953-66.
23. Muscarella LF. Recommendations for the prevention of transmission of SARS during GI endoscopy. Gastrointest Endosc 2004; 60: 792-5.