RT Journal Article
SR Electronic
T1 Bronchoscopy During Noninvasive Ventilation: Indications and Technique
JF Respiratory Care
FD American Association for Respiratory Care
SP 595
OP 600
VO 55
IS 5
A1 Septimiu D Murgu
A1 Jocelyn Pecson
A1 Henri G Colt
YR 2010
UL http://rc.rcjournal.com/content/55/5/595.abstract
AB Diagnostic or therapeutic flexible bronchoscopy is often necessary in severely ill patients. These patients often have comorbidities that increase the risk of bronchoscopy-related complications. Noninvasive ventilation might decrease the risk of these complications in patients with severe refractory hypoxemia, postoperative respiratory distress, or severe emphysema, and in pediatric patients. Noninvasive ventilation may prevent hypoventilation in patients with obstructive sleep apnea and obesity hypoventilation syndrome who require bronchoscopy, and may assist in the bronchoscopic evaluation of patients with expiratory central-airway collapse. We describe the indications, contraindications, and technique of flexible bronchoscopy during noninvasive ventilation.