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Use of Noninvasive Ventilation for Diagnostic and Therapeutic Bronchoscopies in Patients with Respiratory Failure

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Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care

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Abstract

Flexible bronchoscopy is a widely used diagnostic and therapeutic tool and, in many instances, it can provide information that results in a change in management. Acute respiratory failure in non-mechanically ventilated patients places them at high risk of complications such as worsening hypoxia, cardiac arrhythmias after an uncomplicated bronchoscopy. In this chapter, we look at evidence of safety and feasibility for using NIV by means of face mask positive pressure ventilation and HFNC for diagnostic and therapeutic bronchoscopies in high-risk patients in respiratory failure.

Methodology

Case reports, prospective randomized control trials, retrospective studies, involving adult patients with hypoxia, hypercapnia and acute respiratory failure with the use of noninvasive ventilation to perform bronchoscopy were reviewed. Keywords and combination of terms such as “acute respiratory failure”, “acute hypoxic respiratory failure”, “acute hypercapnic respiratory failure”, “non-invasive ventilation”, and “bronchoscopy” were used to increase the sensitivity of our search. Two electronic databases were searched (PubMed and Google Scholar). Abstracts and full texts were screened to fit the criteria.

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Author information

Authors and Affiliations

  1. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Priyanka Makkar & Bryan Husta

Authors
  1. Priyanka Makkar
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  2. Bryan Husta
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Corresponding author

Correspondence to Bryan Husta .

Editor information

Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Pathophysiology and Pulmonary Rehab, Azienda Ospedaliera dei Colli PO Monaldi, Napoli, Italy

    Giuseppe Fiorentino

  3. Innovative Technologies for the Study of Sleep Breathing Disorders, Institute for Biomedical Research and Innovation (IRIB), Italian National Research Council, Palermo, Italy

    Giuseppe Insalaco

  4. Department of Pulmonary and CC Medicine, Lenox Hill Hospital, New York, NY, USA

    Bushra Mina

  5. Department of Respiratory and CC Medicine, First Affiliated Hospital of Chongqing M, Chongqing, China

    Jun Duan

  6. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Maria Cristina Mondardini

  7. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Fabio Caramelli

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Makkar, P., Husta, B. (2020). Use of Noninvasive Ventilation for Diagnostic and Therapeutic Bronchoscopies in Patients with Respiratory Failure. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_43

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  • DOI: https://doi.org/10.1007/978-3-030-42998-0_43

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42997-3

  • Online ISBN: 978-3-030-42998-0

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