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- W2108126670 abstract "Bronchoscopy is an important diagnostic and therapeutic tool for the management of patients after lung transplantation. Out-patient bronchoscopy attempts to improve quality of life of transplant recipients and reduce health costs through reducing hospitalisation. Limited data exists however, regarding safety and efficacy of outpatient bronchoscopy. Between August 2008 and January 2011, we analysed outpatient bronchoscopies in our program. Post-bronchoscopy a routine monitoring for at least one hour, excepted patients with transbronchial biopsies, was performed. 3.197 outpatient bronchoscopies were performed in 571 lung transplant recipients. Analysis indicated a median bronchoscopy rate of 4 examinations per patient (interquartile range 2-7). Bronchiolitis obliterans syndrome (BOS) was demonstrated in 38% of the patients at the time of examination. Long-term oxygen therapy was required by 9% before examination. A median duration of 15 minutes (interquartile range 10-20 minutes) was identified, 14% had intravenous sedation and 4% antitussive medication. Interventions performed included bronchial alveolar lavage (BAL) in 81%, transbronchial biopsy (TBB) in 23%, balloon dilatation in 4% and argon therapy in 15%. In 80% of examinations no detectable complications occurred. The most common occurring complications were coughing and minimal bleeding after TBB. Three patients (0,1%) developed pneumothoraces and two (0,15%) were hospitalized because of desaturation. We summarize that outpatients bronchoscopy is safe with an acceptable complication rate. Quality of examination is adequate in the vast majority based on a sufficient BAL recovery median and biopsy result." @default.
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- W2108126670 date "2011-09-01" @default.
- W2108126670 modified "2023-09-22" @default.
- W2108126670 title "Safety and efficacy of outpatient bronchoscopy in lung transplant recipients: A single centre retrospective analysis" @default.
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