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Article Type

Article

Abstract

Flexible bronchoscopy (FB) diagnoses and treats airway issues by directly visualizing them. The aim of this study is to investigate whether the percutaneous oxygen saturation (Spo2) level during bronchoscopy is associated with the development of hypoxia. We conducted a cross-sectional research of 40 Baghdad Teaching Hospital/Medical City complex patients from October 1, 2023, to March 10, 2024. The University of Baghdad College of Medicine Department of Medicine approved the study protocol. Patients aged > 18 years who underwent FB with continuous percutaneous oxygen saturation monitoring were screened. Our sample has 40 patients with a mean age of 57.97 years and BMI of 24.42 kg/m2. 19 (47.5%) smoked and 22 (55%) were male. Shortness of breath (87.5%) was the most prevalent complaint, followed by cough (45%) and hemoptysis (10%). Diabetes mellitus and hypertension were the most prevalent comorbidities, each in 8 patients (20%). The chest CT scans revealed unilateral lung involvement in 32 patients (80%), bilateral lung lesions in 6 (15%), and normal imaging in 2 (5%). In conclusion; the study results indicate considerable decrease in intra-procedure O2 saturation levels during flexible bronchoscope, regardless of other hypoxia risk variables (BAL, biopsy, operation time, lung illness, etc.). Thus, adults should get high-flow nasal interfaces to prevent hypoxia-related problems during and after the surgery.

Keywords

Bronchoscope, hypoxia, fiberoptic flexible, oxygen saturation BAL, biopsy, time of procedure

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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