Iatrogenic bleeding during flexible bronchoscopy : risk factors, prophylactic measures and management

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dc.contributor.authorBernasconi, Maurizioen_ZA
dc.contributor.authorKoegelenberg, Coenraad F. N.en_ZA
dc.contributor.authorKoutsokera, Angelaen_ZA
dc.contributor.authorOgna, Adamen_ZA
dc.contributor.authorCasutt, Alessioen_ZA
dc.contributor.authorNicod, Laurenten_ZA
dc.contributor.authorLovis, Albanen_ZA
dc.date.accessioned2018-08-23T11:55:25Z
dc.date.available2018-08-23T11:55:25Z
dc.date.issued2017-03-18
dc.descriptionCITATION: Bernasconi, M., et al. 2017. Iatrogenic bleeding during flexible bronchoscopy : risk factors, prophylactic measures and management. ERJ Open Research, 3:00084-2016, doi:10.1183/23120541.00084-2016.
dc.descriptionThe original publication is available at https://openres.ersjournals.com
dc.description.abstractENGLISH ABSTRACT: Significant iatrogenic bleeding during flexible bronchoscopy is fortunately rare and usually self-limiting. Life-threatening bleeding, however, can occur, especially after conventional or cryoprobeassisted transbronchial biopsy. The aim of this review is to provide the practising pulmonologist with a concise overview of the incidence, severity and risk factors for bleeding, to provide sensible advice on prophylactic measures and to suggest a plan of action in the case of significant bleeding. Bronchoscopy units should have a standardised approach and plan of action in the case of life-threatening haemorrhage. Wedging the bronchoscope in the bleeding segment, turning the patient in an anti-Trendelenburg position and onto the side in order for the bleeding lung to be in the dependent position, installing vasoconstrictors and using a tamponade balloon early are the recommended first-line strategies. Involving a resuscitation team should be considered early in the case of massive bleeding, desaturation and haemodynamic instability.en_ZA
dc.description.urihttps://openres.ersjournals.com/content/3/2/00084-2016
dc.description.versionPublisher's version
dc.format.extent11 pages
dc.identifier.citationBernasconi, M., et al. 2017. Iatrogenic bleeding during flexible bronchoscopy : risk factors, prophylactic measures and management. ERJ Open Research, 3:00084-2016, doi:10.1183/23120541.00084-2016
dc.identifier.issn2312-0541 (online)
dc.identifier.otherdoi:10.1183/23120541.00084-2016
dc.identifier.urihttp://hdl.handle.net/10019.1/104337
dc.language.isoen_ZAen_ZA
dc.publisherEuropean Respiratory Society
dc.rights.holderEuropean Respiratory Society
dc.subjectBronchoscopy -- Flexibleen_ZA
dc.subjectBleedingen_ZA
dc.subjectBronchoscopyen_ZA
dc.subjectIatrogenic diseasesen_ZA
dc.titleIatrogenic bleeding during flexible bronchoscopy : risk factors, prophylactic measures and managementen_ZA
dc.typeArticleen_ZA
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