Bronchoscopy complications

Osula S, Stockton P, Abdelaziz MM, Walshaw MJ. Intratracheal cocaine induced myocardial infarction an unusual complication of fibreoptic bronchoscopy. Thorax 2003 58 733-4. 

Freitag L, Firusian N, Stamatis G, Greschuchna D. The role of bronchoscopy in pulmonary complications due to mustard gas inhalation. Chest. 1991 100 1436-1441. 

After stent insertion, a final completion bronchoscopy with the use of the flexible endoscope should be done to check appropriate stent position, determine patency of bronchial ostia, rule out complications (e.g., bleeding, airway disruption, mucus impaction) and ascertain proper attachment of the proximal and distal stent ends to the tracheobronchial mucosa (see Fig. 12.If). 

Sun M, Ernst A, Boiselle PM (2007) MDCT of the central airways comparison with bronchoscopy in the evaluation of complications of endotracheal and tracheostomy tubes. J Thorac Imaging 22 136-142... 

Drng overdose Accidental aspiration of a cyanoacrylate adhesive by a toddler was complicated by tracheal and bronchial obstruction [47 ]. At bronchoscopy several pieces of glue were removed from both main-stem bronchi and the child made a full recovery. 

Figure 2 Diagnostic approach to blood and marrow transplant recipients with pulmonary complications. Abbreviations FOB, fiberoptic bronchoscopy HRCT, high-resolution computed tomography of the chest PFT, pulmonary function test VATS, video-assisted thoracoscopic surgery.

The most common causes of death in the initial hospitalization period or within the first 60 days right after patients are discharged are cardiac-related and primary graft failure (Meyers et al. 1999). Other common causes include parenchyma bleeding, ARDS, sepsis, bacterial pneumonia, and pulmonary embolism and neurological injury (Meyers et al. 1999). Anastomotic dehiscence, a previously common postoperative complication, is now very rare because of improved surgical techniques (Date et al. 1995). Treatment usually consists of overstenting the anastomotic dehiscence via bronchoscopy (Fig. 5.2.9) (SusANTO et al. 1998). 

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