Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento

Background: Flexible bronchoscopy is a useful diagnostic tool with a relative low rate of complications. Aim: To analyze post procedure risk of complications after flexible bronchoscopy with transbronchial or bronchial biopsy. Material and Methods: The electronic database of a bronchoscopy unit at a...

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Autores principales:	Fernández-Bussy,Sebastián, Labarca,Gonzalo, Zagolin,Mónica, Oyonarte,Maite, Isamit,Dionis, Jalilie,Alfredo, Guerra,Carlos, Chernilo,Sara
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Anestesia Biopsy Bronchoscopy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300003
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spelling	oai:scielo:S0034-988720140003000032014-09-02Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimientoFernández-Bussy,SebastiánLabarca,GonzaloZagolin,MónicaOyonarte,MaiteIsamit,DionisJalilie,AlfredoGuerra,CarlosChernilo,Sara Anestesia Biopsy Bronchoscopy Background: Flexible bronchoscopy is a useful diagnostic tool with a relative low rate of complications. Aim: To analyze post procedure risk of complications after flexible bronchoscopy with transbronchial or bronchial biopsy. Material and Methods: The electronic database of a bronchoscopy unit at a general Hospital was analyzed. All procedures performed between 2009 and 2011 were reviewed and complications recorded. The primary outcome measure was the risk for complications de fined as the percentage of procedures complicated by hemorrhage, pneumothorax, desaturation < 80% and other complications. We used a logistic regression model to explore the association between each procedure characteristic and complication. Results: One thousand seventy nine procedures were included in the analysis. Eight percent had complications. Among these, the frequency of hemorrhage was 5.9% and pneumothorax was 0.3%. Factors associated with complications were exclusive use of topical anesthesia with an odds ratio (OR) of 1.72 (confidence intervals (CI): 1.04-2.86), regular or bad intolerance to the procedure with an OR 4.70 (CI: 3.00-7.38) and performing biopsies of the upper lobes with an OR of 1.76 (CI: 1.04-2.97). Conclusions: Exclusive use of topical anesthesia, performing biopsies of the upper lobes and procedure tolerance were risk factors associated with complications following bronchoscopic biopsies.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.3 20142014-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300003es10.4067/S0034-98872014000300003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anestesia Biopsy Bronchoscopy
spellingShingle	Anestesia Biopsy Bronchoscopy Fernández-Bussy,Sebastián Labarca,Gonzalo Zagolin,Mónica Oyonarte,Maite Isamit,Dionis Jalilie,Alfredo Guerra,Carlos Chernilo,Sara Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
description	Background: Flexible bronchoscopy is a useful diagnostic tool with a relative low rate of complications. Aim: To analyze post procedure risk of complications after flexible bronchoscopy with transbronchial or bronchial biopsy. Material and Methods: The electronic database of a bronchoscopy unit at a general Hospital was analyzed. All procedures performed between 2009 and 2011 were reviewed and complications recorded. The primary outcome measure was the risk for complications de fined as the percentage of procedures complicated by hemorrhage, pneumothorax, desaturation < 80% and other complications. We used a logistic regression model to explore the association between each procedure characteristic and complication. Results: One thousand seventy nine procedures were included in the analysis. Eight percent had complications. Among these, the frequency of hemorrhage was 5.9% and pneumothorax was 0.3%. Factors associated with complications were exclusive use of topical anesthesia with an odds ratio (OR) of 1.72 (confidence intervals (CI): 1.04-2.86), regular or bad intolerance to the procedure with an OR 4.70 (CI: 3.00-7.38) and performing biopsies of the upper lobes with an OR of 1.76 (CI: 1.04-2.97). Conclusions: Exclusive use of topical anesthesia, performing biopsies of the upper lobes and procedure tolerance were risk factors associated with complications following bronchoscopic biopsies.
author	Fernández-Bussy,Sebastián Labarca,Gonzalo Zagolin,Mónica Oyonarte,Maite Isamit,Dionis Jalilie,Alfredo Guerra,Carlos Chernilo,Sara
author_facet	Fernández-Bussy,Sebastián Labarca,Gonzalo Zagolin,Mónica Oyonarte,Maite Isamit,Dionis Jalilie,Alfredo Guerra,Carlos Chernilo,Sara
author_sort	Fernández-Bussy,Sebastián
title	Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
title_short	Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
title_full	Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
title_fullStr	Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
title_full_unstemmed	Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
title_sort	complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300003
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Complicaciones asociadas a la broncoscopía flexible: análisis de registro post-procedimiento

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