Evaluation of a 24-hour emergency bronchoscopy service in a tertiary care hospital.

摘要: BACKGROUND Flexible bronchoscopy has become an important diagnostic and therapeutic tool for the management of patients with various diseases chest. Availability a 24-hour service equipped experienced personnel is becoming increasingly especially intensive care patients. However, such services have been implemented only in few medical centres. The aim this study was to evaluate usage emergency large university hospital 1 year prospective analysis tertiary centre. METHODS Frequencies, indications efficiency interventions were evaluated after each using specially designed questionnaire. All bronchoscopies performed as procedures out operational schedule. A total 614 performed, 88% them units. RESULTS vast majority (84.5%) necessary interventions; that is, atelectasis, airway secretion, aspiration or bronchopulmonary bleeding. According prespecified criteria, 37.6% (n = 195) assessed 'very helpful' 3.9% 20) 'life saving'. Diagnostic mainly collect material microbiological evaluations immunocompromised In these cases, yield approximately 50%. CONCLUSION availability found improve patient occasionally considered life saving. Thus, comparable should be made more widely available.