Les bonnes pratiques de la bronchoscopie souple diagnostique, en 2007 - 05/05/08

Doi : rmr-12-2007-24-10-0761-8425-101019-200720194

M. Febvre^[1],
V. Trosini-Desert^[2],
K. Atassi^[3],
C. Hermant^[4],
A. Colchen^[5],
C. Raspaud^[6],
J.M. Vergnon^[7]
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^[1] Service de Pneumologie, Hôpital Saint Antoine, Paris, France.
^[2] Service de pneumologie, Hôpital Pitié-Salpêtrière, Paris, France.
^[3] Service de Pneumologie, Centre hospitalier Intercommunal de Créteil, France.
^[4] Clinique des Voies Respiratoires, Hôpital Larrey, Toulouse, France.
^[5] Service de chirurgie thoracique, Hôpital Foch, Suresnes, France.
^[6] Clinique Pasteur, Toulouse, France.
^[7] Service de Pneumologie et d'Oncologie Thoracique, Hôpital Nord, Saint-Etienne, France.

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Good practices of diagnostic flexible bronchoscopy

These guidelines on flexible bronchoscopy depict important clues to be known and taken into account while practicing flexible bronchoscopy, in adult, except in emergency situations. This is a practical clarification.

Safety conditions, complications, anesthesia, infectious risks, cleaning and disinfection are detailed from a review of the literature. Intensive care practice of bronchoscopy requires more attention due to higher risks patients and is discussed extensively. Standards and performances of the various sampling techniques complete this work. Indications for bronchoscopy, therapeutic and paediatric bronchoscopy are not covered in these guidelines.

Keywords: Flexible bronchoscopy , Lung cancer , Anesthesia , Complications , Cleaning-disinfection , Guidelines