Flexible bronchoscopy is a frequently performed bedside procedure in critical care, with both diagnostic and therapeutic indications. ICU consent is rarely straightforward – most patients are sedated, encephalopathic, delirious or intubated. Draw everything up before you start – and tailor the sedation strategy to whether the patient is breathing for themselves or is ventilated. The rescue drugs are the same either way, so have them ready regardless. A scope in the lumen is a fixed obstruction. This increase in resistance impairs expiration and leads to auto-PEEP and intrinsic gas trapping, reduced tidal volumes, and increased airway pressures. Suctioning then de-recruits by removing PEEP and volume. Anticipate and address accordingly. Patient preparation is vital for performing bronchoscopy safely in the ICU. Key considerations include: #mc_embed_signup { background: #fff; clear: left; font: 14px Helvetica, Arial, sans-serif; } #mc-embedded-subscribe-form input[type=checkbox] { display: inline; width: auto; margin-right: 10px; } #mergeRow-gdpr { margin-top: 20px; } #mergeRow-gdpr fieldset label { font-weight: normal; } #mc-embedded-subscribe-form .mc_fieldset { border: none; min-height: 0px; padding-bottom: 0px; } Unlock exclusive content and resources. Sign up for our newsletter today!
Flexible bronchoscopy is a frequently performed bedside procedure in critical care, with both diagnostic and therapeutic indications.
ICU consent is rarely straightforward – most patients are sedated, encephalopathic, delirious or intubated.
Draw everything up before you start – and tailor the sedation strategy to whether the patient is breathing for themselves or is ventilated. The rescue drugs are the same either way, so have them ready regardless.
A scope in the lumen is a fixed obstruction. This increase in resistance impairs expiration and leads to auto-PEEP and intrinsic gas trapping, reduced tidal volumes, and increased airway pressures. Suctioning then de-recruits by removing PEEP and volume. Anticipate and address accordingly.
Patient preparation is vital for performing bronchoscopy safely in the ICU. Key considerations include:
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