A survey of flexible bronchoscopy practices in India: The Indian bronchoscopy survey (2017)

被引:37
|
作者
Madan, Koran [1 ]
Mohan, Anant [1 ]
Agarwal, Ritesh [2 ]
Hadda, Vijay [1 ]
Khilnani, Gopi C. [1 ]
Guleria, Randeep [1 ]
机构
[1] All India Inst Med Sci, Dept Pulm Med & Sleep Disorders, New Delhi 110029, India
[2] Postgrad Inst Med Educ & Res, Dept Pulm Med, Chandigarh, India
关键词
Anesthesia; bronchoscopy; endobronchial ultrasound; lung biopsy; transbronchial needle aspiration;
D O I
10.4103/lungindia.lungindia_417_17
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: There is a lack of contemporaneous data on the practices of flexible bronchoscopy in India. Aim: The aim of the study was to study the prevalent practices of flexible bronchoscopy across India. Methods: The "Indian Bronchoscopy Survey" was a 98-question, online survey structured into the following sections: general information, patient preparation and monitoring, sedation and topical anesthesia, procedural/technical aspects, and bronchoscope disinfection/staff protection. Results: Responses from 669 bronchoscopists (mean age: 40.2 years, 91.8% adult pulmonologists) were available for analysis. Approximately, 70,000 flexible bronchoscopy examinations had been performed over the preceding year. A majority (59%) of bronchoscopists were performing bronchoscopy without sedation. A large number (45%) of bronchoscopists had learned the procedure outside of their fellowship training. About 55% used anticholinergic premedication either as a routine or occasionally. Nebulized lignocaine was being used by 72%, while 24% utilized transtracheal administration of lignocaine. The most commonly (75%) used concentration of lignocaine was 2%. Midazolam with or without fentanyl was the preferred agent for intravenous sedation. The use of video bronchoscope was common (80.8%). The most common (94%) route for performing bronchoscopy was nasal. Conventional transbronchial needle aspiration (TBNA) was being performed by 74%, while 92% and 78% performed endobronchial and transbronchial lung biopsy, respectively. Therapeutic airway interventions (stents, electrocautery, cryotherapy, and others) were being performed by 30%, while endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) and rigid bronchoscopy were performed by 27% and 19.5%, respectively. Conclusion: There is a wide national variation in the practices of performing flexible bronchoscopy. However, there has been a considerable improvement in bronchoscopy practices compared to previous national surveys.
引用
收藏
页码:98 / 107
页数:10
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