Management of hypoxemia during flexible bronchoscopy

被引:49
作者
Chhajed, PN [1 ]
Glanville, AR [1 ]
机构
[1] St Vincents Clin, Lung Transplant Unit, Darlinghurst, NSW 2010, Australia
关键词
D O I
10.1016/S0272-5231(03)00050-9
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Oxygen desaturation. is known to occur during flexible bronchoscopy. Significant hypoxemia may sometimes occur during flexible bronchoscopy despite the use of supplemental oxygen. The common causes of hypoxemia during bronchoscopy include upper airway obstruction, bronchoalveolar lavage, oversedation, and hypoventilation. Upper airway obstruction is successfully treated with nasopharyngeal tube insertion. Other strategies that may need to be implemented include oxygen supplementation with intratracheal catheter, reversal of sedation, removal of the bronchoscope, bag and mask ventilation, and, rarely, endotracheal intubation and ventilation. Hypoxemia may last for a considerable time after bronchoscopy has been completed and hence oxygen supplementation should be continued in the recovery room following the procedure.
引用
收藏
页码:511 / +
页数:7
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