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Clinical Investigations: TechniquesComplications of Fiberoptic Bronchoscopy at a University Hospital
Section snippets
Data Collection
This retrospective study reviewed 4,273 consecutive bronchoscopy reports of FFBs performed at The Ohio State University Hospitals between April 1, 1988 and March 30, 1993. Each FFB report, completed by the attending physician and the bronchoscopy technician, contained the indication, anesthesia, findings, and complications. There was a standard protocol for filling out each bronchoscopy report and for observing the patient for postbronchoscopy complications. The patient was observed for
Indications
Of the 4,273 bronchoscopies performed, 3,686 (86.3%) were performed for diagnostic purposes, 447 (10.4%) for therapeutic purposes, and 140 (3.3%) were performed on normal volunteers for research purposes. These procedures included 2,493 BALs and 173 transbronchial biopsies. The major diagnostic indications included obtaining lower respiratory tract secretions for suspected infection (52% of all FFBs), evaluating lung lesions of unknown etiology observed on chest radiograph (17% of all FBB),
DISCUSSION
Credle et al2 first reviewed the complications of fiberoptic bronchoscopy in 1974 by a questionnaire sent to 250 physicians. Seventy-eight percent responded with a total of 24,521 procedures reported. The mortality rate was 0.01% and the incidence of major complications was 0.08%. In a similar study, Suratt et al3 surveyed 1,041 owners of flexible fiberoptic bronchoscopes. Thirty-one percent responded for a total of 48,000 procedures. Mortality rate was 0.03% and the incidence of major
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