Non-invasive Ventilation Assisted Fiber-optic Bronchoscopy
Efficacy and Safety of Using Non-invasive Ventilation Assisted Fiber-optic Bronchoscopy
Mansoura University
100 participants
Jul 25, 2020
INTERVENTIONAL
Conditions
Summary
The purpose of this study is the evaluation of using bi-level positive airway pressure ventilation in candidates for fiber-optic bronchoscopy regarding benefits and drawbacks.
Eligibility
Inclusion Criteria3
- Patients who admitted to the pulmonology ward or intensive care unit with any (diagnostic and/or therapeutic) bronchoscopy indication.
- Age 18 years or more.
- Patients accepted to participate in the study.
Exclusion Criteria11
- Patients with:
- Cardiac or respiratory arrest.
- Impaired consciousness or confusion.
- Type II respiratory failure.
- Hemodynamic instability.
- Inability to cooperate or to protect the airway.
- Vomiting, bowel obstruction, recent upper gastrointestinal tract surgery and esophageal injury.
- Patients refusing participation in the study.
- Patients unfit for NIV and or NIV mask.
- Intubation and or invasive ventilation candidates.
- Presence of contraindications for bronchoscopy procedure such as insufficient platelet number or coagulopathy.
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Interventions
Group 1 (hypoexemic patient who will undergo bronchoscopy under non- invasive ventilation{NIV} and conventional o2 therapy) will be on NIV half an hour prior and throughout the bronchoscopic sampling and after the procedure until reach the baseline criteria
Group 2 (hypoxemic patients who will undergo conventional bronchoscopy under conventional o2 therapy without NIV ) will be on conventional oxygen therapy half an hour prior and throughout the bronchoscopic sampling and after the procedure until reach the baseline criteria
Group 3 (non- hypoxemic patients who will undergo bronchoscopy under non- invasive ventilation{NIV} and conventional o2 therapy) will be on NIV throughout the bronchoscopic sampling and after the procedure until reach the baseline criteria
Group 4 (non- hypoxemic patients who will undergo conventional bronchoscopy without non- invasive ventilation{NIV) will be on conventional oxygen therapy throughout the bronchoscopic sampling and after the procedure until reach the baseline criteria
Locations(1)
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NCT06115395