a Department of Pulmonary and Critical Care , School of Medicine, Dokuz Eylul University , Izmir , Turkey.
b Department of Clinical , Integrated and Experimental Medicine (DIMES), Respiratory and Critical Care Unit, S. Orsola-Malpighi Hospital, Alma Mater University , Bologna , Italy.
Expert Rev Respir Med. 2018 Aug;12(8):651-663. doi: 10.1080/17476348.2018.1494576. Epub 2018 Jul 12.
Flexible bronchoscopy has been well established for diagnostic and therapeutic purposes in critically ill patients. Areas covered: This review outlines the clinical evidence of the utility and safety of flexible bronchoscopy in the intensive care unit, as well as specific considerations, including practical points and potential complications, in critically ill patients. Expert commentary: Its ease to learn and perform and its capacity for bedside application with relatively few complications make flexible bronchoscopy an indispensable tool in the intensive care unit setting. The main indications for flexible bronchoscopy in the intensive care unit are the visualization of the airways, sampling for diagnostic purposes and management of the artificial airways. The decision to perform flexible bronchoscopy can only be made by trade-offs between potential risks and benefits because of the fragile nature of the critically ill. Flexible bronchoscopy-associated serious adverse events are inevitable in cases of a lack of expertise or appropriate precautions.
纤维支气管镜在危重症患者的诊断和治疗中已得到广泛应用。
本文综述了纤维支气管镜在重症监护病房的应用的临床证据，包括其在危重症患者中的实用性和安全性，以及具体注意事项，包括实际问题和潜在并发症。
纤维支气管镜易于学习和操作，可在床边进行，并发症相对较少，使其成为重症监护病房中不可或缺的工具。重症监护病房中纤维支气管镜的主要适应证为观察气道、诊断性采样和人工气道的管理。由于危重症患者的脆弱性，进行纤维支气管镜检查的决策只能在潜在风险和获益之间进行权衡。在缺乏专业知识或适当预防措施的情况下，纤维支气管镜相关的严重不良事件是不可避免的。
