RT Journal Article
SR Electronic
T1 Subinterlobular Pleural Location Is a Risk Factor for Pneumothorax After Bronchoscopy
JF Respiratory Care
FD American Association for Respiratory Care
SP 1664
OP 1670
DO 10.4187/respcare.04874
VO 61
IS 12
A1 Haruka Chino
A1 Motoyasu Iikura
A1 Nayuta Saito
A1 Nahoko Sato
A1 Manabu Suzuki
A1 Satoru Ishii
A1 Eriko Morino
A1 Go Naka
A1 Jin Takasaki
A1 Shinyu Izumi
A1 Masayuki Hojo
A1 Yuichiro Takeda
A1 Haruhito Sugiyama
YR 2016
UL http://rc.rcjournal.com/content/61/12/1664.abstract
AB BACKGROUND: Pneumothorax is one of the most important complications after bronchoscopy. This study was conducted to determine the risk factors for post-bronchoscopy pneumothorax.METHODS: We retrospectively reviewed the medical records of 23 consecutive subjects who were diagnosed with iatrogenic pneumothorax after bronchoscopy between August 2010 and February 2014. Forty-six control subjects who did not develop pneumothorax after bronchoscopy were randomly selected. The factors affecting the occurrence of pneumothorax were determined by univariate and multivariate analyses.RESULTS: Among 991 patients who underwent bronchoscopy during the study period, 23 (2.3%) developed pneumothorax after bronchoscopy. Among these 23 subjects, 13 (57%) required chest tube drainage. Compared with the control group (46 randomly selected from 968 subjects who did not develop pneumothorax), the group that developed pneumothorax had a preponderance of women and had more target lesions located in the subpleural area (odds ratio [OR] 7.8, 95% CI 0.9–64), especially those that were close to the interlobular pleura (OR 5.1, 95% CI 1.6–16.1) and the left lung (OR 3.2, 95% CI 1.1–9.5). Multivariate analysis revealed that a subinterlobular pleural location of a lesion was a risk factor for pneumothorax (OR 4.8, 95% CI 1.1–20.4).CONCLUSIONS: Pneumothorax occurred significantly more frequently when bronchoscopy was performed for subinterlobular pleural lesions. Close attention and care should be taken during bronchoscopy, especially when target lesions are abutting the interlobular pleura.