Fiberoptic bronchoscopic toilet in surgical management of bronchiectasis

Conclusion: Tracheobronchial toilet by using a FOB is a safe and reliable technique in patients who underwent surgical resection for bronchiectasis to avoid postoperative pulmonary complications.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Gross examination of bronchiectatic lungs shows dilatations of bronchi those are filled with suppurative secretions.

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Key Findings & Data:One of the most important aspects of surgical management is the control of sputum to prevent the healthy lung areas.bronchiectasis underwent surgical resection between January 1998, and August 2001, at our department.

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Conclusion & Impact:Conclusion: Tracheobronchial toilet by using a FOB is a safe and reliable technique in patients who underwent surgical resection for bronchiectasis to avoid postoperative pulmonary complications.

🔬Design:Research Article

📍Scope:2001 Verileri

⚙️Variables:Trake · Bronkoskopi · Bronşektazi

Abstract

Background: Gross examination of bronchiectatic lungs shows dilatations of bronchi those are filled with suppurative secretions. One of the most important aspects of surgical management is the control of sputum to prevent the healthy lung areas.bronchiectasis underwent surgical resection between January 1998, and August 2001, at our department. Patients were divided into two groups. A fiber optic bronchoscopy (FOB) was used for tracheobronchial toilet, suction and broncoalveolar lavage immediate after entubation and before extubation period under general anesthesia in first group (n37). Tracheobronchial suctioning was used in second group (n37) before extubation. Results: The postoperative complications such as retained sputum, atelectasis and pneumonia were analyzed and compared between two groups. The complications were signicifianltly less and the postoperative patient's comfort was better in first group. Conclusion: Tracheobronchial toilet by using a FOB is a safe and reliable technique in patients who underwent surgical resection for bronchiectasis to avoid postoperative pulmonary complications.

Özet

Giriş:Bronşektazik akciğerlerin makroskopik incelemesinde süpüratif sekresyon ile dolu bronş dilatasyonu izlenir. Bronşektazinin cerrahi tedavisinde en önemli konulardan biri de bu sekresyonun kontrolü ve sağlıklı akciğer alanlarının etkilenmesinin önlenmesidir. Yöntem: Kliniğimizde, Ocak 1998 ve Ağustos 2001 tarihleri arasında bronşektazi nedeniyle 74 hastaya akciğer rezeksiyonu uygulanmıştır. Hastalar iki gruba bölünmüştür. Birinci gruba (n=37) entübasyon sonrası ve ekstübasyon öncesi fiberoptik bronkoskopi (FOB) ile trakeobronşial yıkama ve temizlik işlemi uygulanmıştır. İkinci gruba (n=37) ekstübasyondan hemen önce doğrudan trakeal aspirasyon uygulanmıştır. Sonuçlar: Balgam retansiyonu, atelektazi ve pnömoni gibi postoperatif pulmoner komplikasyonlar her iki grupta karşılaştırmalı olarak incelenmiştir. Pulmoner komplikasyonlar birinci grupta belirgin derecede az saptanmıştır. Sonuç: Preoperatif ve postoperatif dönemde FOB kullanarak uygulanan trakeobronşial temizlik, postoperative pulmoner komplikasyonların azaltılmasında etkili ve güvenli bir yöntemdir.

Keywords

Trake Bronkoskopi Bronşektazi Ameliyat sonrası komplikasyonlar Cerrahi işlemler operatif Trachea Bronchoscopy Bronchiectasis Postoperative Complications Surgical Procedures Operative

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Cite This Article

GÜRKÖK, S., DAKAK, M., GENÇ, O., GÖZÜBÜYÜK, A., ÇAYLAK, H., YÜCEL, O., BALKANLI, K. (2003). Fiberoptic bronchoscopic toilet in surgical management of bronchiectasis. Gülhane Tıp Dergisi, Cilt: 45 - Sayı: 2, 131–134. https://ajindex.com/articles/225732

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