scholarly journals Study of Clinicoradiological Profile of Patients Undergoing Fiberoptic Bronchoscopy

2017 ◽  
Vol 4 (1) ◽  
pp. 70 ◽  
Author(s):  
Gauri Kulkarni ◽  
Saurabh Ambadekar
Keyword(s):  
Local Anesthesia ◽  
Lung Biopsy ◽  
Radiological Finding ◽  
Fiberoptic Bronchoscopy ◽  
Flexible Bronchoscopy ◽  
Mass Lesion ◽  
Common Finding ◽  
Virtual Bronchoscopy ◽  
Positive Correlation ◽  
Visible Growth

Introduction: Bronchoscopy is a procedure to visualize the tracheobronchial tree. There are three types of Bronchoscopy, rigid, flexible, and virtual Bronchoscopy. Rigid bronchoscopy visualizes the proximal airways. Flexible bronchoscopy is the most common type of bronchoscopy. It visualizes the trachea, proximal airways, and segmental airways up to the third generation of branching and can be used to sample and treat lesions in those airways. Flexible bronchoscopy is generally performed in a procedure room with conscious sedation. Aims and Objectives: To study the bronchoscopic findings in patients undergoing fiberoptic bronchoscopy. To study clinical and radiological profile of patients undergoing fiberoptic bronchoscopy. To correlate the bronchoscopic findings with clinical and radiological profile of patients undergoing fiberoptic bronchoscopy. Methodology: Present study was conducted in the department of Respiratory Medicine of a Medical College and tertiary health centre. A total of 72 patients were included in this study after satisfying inclusion and exclusion criteria. The cases were recruited from the department of Respiratory and the referred cases from other department were also included. Written informed consent was taken from all the patients after explaining complications occurring during and after bronchoscopy. Procedure was done under local anesthesia. Information regarding clinical features and radiological findings were noted in predesigned proforma. Results: In this study 72 patients underwent fiberoptic bronchoscopy. Procedure was done under local anesthesia in all these patients. All these were diagnostic bronchoscopies. The bronchoscopy was done more in male (68.05%) as compared to females (31.94%). Consolidation (43.06%) was most common radiological finding followed by meditational mass lesion (26.39%). The most common finding on bronchoscopy was growth (25%) followed by secretions (22.22%). However in 27.78% patients no bronchoscopic finding was seen; these were patients with subcarinal lymph node, some cases of pneumonias, some cases of bronchiectasis. In those cases where no finding was seen bronchoalveolar lavage was taken. BAL (68 cases) was the most common procedure done, second most common was lung biopsy of the visible growth (21) However biopsy of the visible growth was more accurate with the accuracy rate of 76.91% followed by trans bronchial lung biopsy of the suspected lesion. Bronchoscopy was conclusive to give final diagnosis in 56 out of 72 cases. There was positive correlation between clinicoradiological diagnosis and bronchoscopic diagnosis. In 59.72% cases there was positive correlation between bronchoscopy and clinicoradiological findings.consolidation (43.06%) was most common radiological finding followed by meditational mass lesion (26.39%). Conclusions: Bronchoscopy is an excellent tool for the diagnosis of lung diseases, Radiological and clinical evaluation is very important prior to the bronchoscopy. There is a correlation between clinicoradiological and bronchoscopic diagnosis.A multimodality approach for the diagnosis is always helpful.

Hypersensitivity pneumonitis

2021 ◽  
Vol 31 (1) ◽  
pp. 88-99
Author(s):  
S. N. Avdeev
Keyword(s):  
Immune Response ◽  
Clinical Picture ◽  
Lung Biopsy ◽  
Hypersensitivity Pneumonitis ◽  
Common Finding ◽  
High Resolution Computed Tomography ◽  
Air Trapping ◽  
Wide Range ◽  
Inflammatory Immune Response ◽  
Lungs And Airways

Hypersensitivity pneumonitis (HP) is an inflammatory disease of the lungs and airways that develops in response to repeated inhalation of a wide range of aerosol antigens. The clinical picture and course of HP are highly variable and depend on such factors as the nature of the antigen, the intensity and duration of exposure to the antigen, as well as on the characteristics of the patient's immune response. The annual incidence of HAP is 1.28 -1.94 cases per 100 000. Currently, the diagnosis of HP is usually based on the characteristic clinical picture, high-resolution computed tomography (HRCT) data, bronchoscopy, lung biopsy, and evidence on the antigen. HRCT plays a central role in the diagnosis of HP. The most common finding on HRCT in HP is ground-glass opacities, which can be associated with centrilobular nodules and air trapping. In some cases, the fibrotic HP signs are very similar to those of idiopathic pulmonary fibrosis (IPF), and most changes are found in the lower regions and subpleurally. Therapy for HP usually includes avoiding exposure to the antigen, considering corticosteroids (CS) and/or immunosuppressive therapy to suppress the active inflammatory/immune response, and treating comorbidities. Nintedanib therapy in patients with progressive fibrotic HP results in a slower decline of lung function compared to placebo.

Comparison of virtual bronchoscopy with fiberoptic bronchoscopy findings in patients exposed to sulfur mustard gas

2011 ◽  
Vol 52 (10) ◽  
pp. 1095-1100 ◽  
Author(s):  
Shahram Akhlaghpoor ◽  
Alireza Aziz Ahari ◽  
Abbas Arjmand Shabestari ◽  
Mostafa Ghanei ◽  
Hamideh Ale Ali ◽  
...  
Keyword(s):  
Sulfur Mustard ◽  
Fiberoptic Bronchoscopy ◽  
Virtual Bronchoscopy ◽  
Mustard Gas

Multidetector computed tomography virtual bronchoscopy: comparison with fiberoptic bronchoscopy

2012 ◽  
Vol 53 (3) ◽  
pp. 366-366 ◽  
Author(s):  
Kushaljit Singh Sodhi ◽  
Akshay Kumar Saxena ◽  
Sameer Vyas ◽  
Niranjan Khandelwal
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Fiberoptic Bronchoscopy ◽  
Virtual Bronchoscopy

Routine radiological examination of the sinuses before septoplasty

1986 ◽  
Vol 100 (8) ◽  
pp. 893-896 ◽  
Author(s):  
Jørgen Hedegaard Jensen ◽  
Hans Dommerby
Keyword(s):  
Maxillary Sinus ◽  
Radiological Finding ◽  
Drainage Tube ◽  
Radiological Examination ◽  
X Rays ◽  
Radiological Findings ◽  
Positive Correlation ◽  
Treatment Surgery

AbstractRecords of septoplasties performed during the last five years were reviewed with the aim of evaluating the results of routine pre-operative radiological examination of the sinuses. A positive correlation was found between the information of sinusitis within the last two years and the radiological finding of complete density or fluid. The roentgenograms showed normal conditions in 73 per cent of the cases and various degrees of pathology in 27 per cent; no case showed signs of malignancy. Puncture and irrigation or sinoscopy had been performed in 52 per cent of the cases with pathological X-rays. Following this treatment, surgery was postponed in 12 patients, and in nine patients a drainage tube was placed in the maxillary sinus per-operatively. Complications developed post-operatively in five of these nine patients and it is concluded that septoplasty should have been postponed. We find that it is important to identify the four per cent (12+9) of patients in whom the radiological findings are so pronounced that operation ought to be postponed.

scholarly journals Role of fiberoptic bronchoscopy in sputum smear negative suspected cases of pulmonary tuberculosis: a study conducted in Southern part of Rajasthan

2020 ◽  
Vol 8 (12) ◽  
pp. 4302
Author(s):  
Atul Luhadia ◽  
Shanti K. Luhadia ◽  
Shubham Jain ◽  
Mohammad Hamza Hanfe ◽  
Divax Oza ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Diagnostic Yield ◽  
Radiological Finding ◽  
Fiberoptic Bronchoscopy ◽  
Sputum Smear ◽  
Tuberculosis Patients ◽  
Acid Fast Bacilli ◽  
Predominant Symptom ◽  
Smear Negative

Background: Sputum smear negative pulmonary tuberculosis is a common problem faced by clinicians. Fiberoptic bronchoscopy may be very useful in diagnosing these cases which have no sputum or whose sputum smear is negative for acid fast bacilli. Objective of the current study was to assess the role of fiberoptic bronchoscopy in sputum smear negative under NTEP and radiologically suspected cases of pulmonary tuberculosis.Methods: Clinico-radiological suspected cases of pulmonary tuberculosis patients in whom two sputum smear for acid fast bacilli by Ziehl Neelsen stain under NTEP was negative were included in the study. Fiberoptic bronchoscopy was performed in all these patients and samples taken were sent for investigations.Results: Fiberoptic bronchoscopy was performed in 250 patients of suspected pulmonary tuberculosis whose sputum for AFB smear was negative. Cough was the most predominant symptom. Radiologically, right side disease was more common and upper zone was most commonly involved and infiltrates were common radiological finding. During bronchoscopy, congestion and hyperaemia (36%) and mucopurulent/mucoid secretions (32%) was seen in maximum number of cases. BAL was positive in 200 patients (80%), post bronchoscopy sputum was positive in 70 cases (28%) and biopsy was positive in 12 patients out of 16 performed biopsies (75%). The total TB positive cases after combining all the methods were 215 making the overall diagnostic yield of 86%.Conclusions: Fiberoptic bronchoscopy and post bronchoscopy sputum can be very useful for diagnosing sputum for AFB smear negative but clinico-radiological suspected cases of pulmonary tuberculosis patients.

scholarly journals COMPARISON OF THE EFFICACY OF TOTAL LARYNGEAL ANESTHESIA AND SIMPLE LOCAL ANESTHESIA DURING AWAKE FIBEROPTIC BRONCHOSCOPY

2021 ◽  
Vol 71 (6) ◽  
pp. 1911-15
Author(s):  
Asif Ullah Khan ◽  
Muhammad Khalid Azam Khan ◽  
Abdul Latif Khattak ◽  
Shazia Naz ◽  
Syed Karamat Hussain Shah Bukhari ◽  
...  
Keyword(s):  
Experimental Study ◽  
Local Anesthesia ◽  
Fiberoptic Bronchoscopy ◽  
Topical Anesthesia ◽  
Military Hospital ◽  
Repeat Test ◽  
Group I ◽  
Quasi Experimental ◽  
Group Ii ◽  
Stage 1

Objective: To compare the efficacy of total laryngeal anesthesia and simple local anesthesia during awake fiberoptic bronchoscopy. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Pulmonology, Combined Military Hospital Lahore, from Jan to Jul 2020. Methodology: A total of 70 patients, who were undergoing fiberoptic bronchoscopy were divided into two groups. Group-I patients were given topical anesthesia with 2% Lignocaine while group-II patients, in addition to topical Lignocaine, had 2% Lignocaine injected into bilateral internal laryngeal nerves for total laryngeal anesthesia. Assessment of efficacy of anesthesia was evaluated by Reasoner scale. Results: In group-I, 26 (74.28%) patients showed mild or moderate cough and gagging during stage-1. Fifteen (42.85%) patients showed moderate cough and gagging that interfered with the procedure during stage-2 and 19 (54.28%) patients showed mild cough or gagging that did not interfere with the procedure in stage-3. In group-II, 17 (48.57%) patients exhibited mild cough or gagging during stage-1. Sixteen (45.71%) exhibited mild cough or gagging that did not interfere with the procedure during stage-2 with all the patients showing either no cough or mild cough and gagging that did not interfere with the procedure during stage-3. More patients of group-II 32 (91.42%) agreed to a repeat test if required medically as compared to group-I 28 (80%). Conclusion: Patients undergoing fiberoptic bronchoscopy who underwent total laryngeal anesthesia and sedation, in addition to topical anesthesia experienced less cough and gagging than those receiving only local anesthesia.

scholarly journals Modern bronhoscopic diagnosis of sarcoidosis

2013 ◽  
Vol 66 (suppl. 1) ◽  
pp. 17-21
Author(s):  
Spasoje Popevic ◽  
Emilija Bukurov-Sudjic ◽  
Zivka Uskokovic-Stefanovic ◽  
Aleksandra Dudvarski-Ilic ◽  
Mihailo Stjepanovic ◽  
...  
Keyword(s):  
Bronchoalveolar Lavage ◽  
Lung Biopsy ◽  
Fiberoptic Bronchoscopy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Transbronchial Lung Biopsy ◽  
Endobronchial Ultrasound ◽  
Unknown Etiology ◽  
Transbronchial Needle Aspiration ◽  
Needle Aspiration Biopsy

Introduction. Sarcoidosis is a multisystem disease of unknown etiology characterized by the presence of non-caseating granulomas in the affected tissues and organs. In most cases, biopsy of available lesions and histological verification is required, which makes bronchoscopy a method of choice in invasive diagnostics of sarcoidosis. Due to the construction of the bronchoscope and biopsy instruments, high quality tissue samples can be obtained from different anatomic locations. Transbronchial lung biopsy. Transbronchial lung biopsy with forceps represents a standard in diagnostics of sarcoidosis and it is always performed during bronchoscopy. Sensitivity and specificity of this method are rising with the stage of disease and it is performed even if chest radiography shows no changes in lung parenchyma. Endoscopic finding in sarcoidosis and endobronchial biopsy (biopsy of bronchial mucosa). Endobronchial biopsy results in diagnosis in 70% of patients with sarcoidosis and positivity is even higher when combined with transbronchial lung biopsy (76-86%). Transbronchial needle aspiration biopsy. Transbronchial needle aspiration biopsy is a safe and widely used routine method, especially if sarcoidosis is in stages I and II. Higher positivity and better quality of biopsy samples can be achieved when transbronchial needle aspiration biopsy is guided by the endobronchial ultrasound. Bronchoalveolar lavage. The significance of bronchoalveolar lavage remains controversial and subjected to further clinical investigations. Conclusion. All presented data point out that all biopsy techniques available should be used during fiberoptic bronchoscopy under suspicion of sarcoidosis, regardless of radiographic and endoscopic appearances.

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