الفهرس 
Specific Indication in the ICU
Supplemental oxygenOnly 14 pages are availabe for public view
 |  | from | 151 |  |  |
| | | from | 151 | | |
Abstract
Bronchoscopy is a procedure to visualize the
tracheobronchial tree the flexible fiberoptic bronchoscopy
FOB, has greatly enhanced the diagnosis and understanding
of lung diseases, and has evolved into the most commonly
used diagnostic procedure in pulmonary medicine. Several
medical centers all over the world have discussed their
experience with the diagnostic yield of FOB, with
controversial results. FOB not only helps in assessing the
disease area but also provides better bacteriological and
histological yield thus helping to reach a definite diagnosis.
Therefore, the aim of this thesis was to study the indication
and outcome of flexible fiberoptic bronchoscope in
bronchoscopy unit, in Abassia Chest Hospital in the period
from October 2013 to September 2014.
This study included two hundred patients 156
(78.0%) males and 44 (22.0%) females with a mean age of
(53.5 ± 14.3).
As regards smoking habits 122 patient (61.0%) were
smokers while 78 patients (39.0%) were non smokers.
which reflect a higher prevalence of smoking as risk factors
in males.As regards the clinical presentations 92 (46.0%) of
cases had one presentation while 108 (54.0%) had many.
Cough was the commonest presenting symptom in this
study 147 (73.5%), dyspnea 113 (56.5%), chest pain 55
(27.5%), while haemoptysis was the least frequent clinical
presentation 23 (11.5%).
In half of the patient 101 (50%) a mass could be
detected in their radiological finding followed by
consolidation representing 63 (31.0%), lymphadenopathy
in 50 (25.0%), effusion in 38 (19.0%), nodule in 32
(16.0%), collapse in 19 (9.5%), cavity in 14 (7.0%), while
abscess was the least frequent finding representing in 9
(4.5%).
The provisional diagnosis upon which the FOB was
indicated comprised of 134 (67%) of cases with suspected
malignancy followed by 30 (15%) of cases with suspected
infection other than TB, suspected pulmonary T.B 22
(11.0%), while haemoptysis was the least frequent
indication 12 (6.0%).
This study reported yields of 80 (40.0%) among 200
patients. The most frequent yield of final diagnosis
according to cytology, histopathology and bacteriology
could be achieved by bronchial biopsy (60.0%), followed by bronchial lavage (33.7%), while brush was the least
frequent yield (6.3%).
Using the fiber optic bronchoscope in the diagnosis
of malignancy was achieved in 53 (26.5%) of patients
while the diagnosis of the infections was reached in 27
(13.5%), however in (60.0%) of the cases other methods
were used to establish the accurate diagnosis.
Majority of cases did not experience any
complications. Bleeding and severe hypoxia occurred in
minority of cases 3 patients (1.5%).