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Survey of flexible bronchoscopy practice in adults in Saudi Arabia

OBJECTIVES: To assess current adherence to international guidelines for practitioners of bronchoscopy in the Kingdom of Saudi Arabia. METHODS: A cross-sectional survey was conducted in Saudi Arabia between December 2016 and March 2017. Pulmonologists, thoracic surgeons, and intensivists were invited...

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Autores principales: Aljohaney, Ahmed A., Albanna, Amr S., Alhajji, Mohammed A., Mobeireek, Abdullah F., Batubara, Enas M., Zalt, Mohammed B., Alghamdi, Majed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468201/
https://www.ncbi.nlm.nih.gov/pubmed/30834418
http://dx.doi.org/10.15537/smj.2019.3.23964
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author Aljohaney, Ahmed A.
Albanna, Amr S.
Alhajji, Mohammed A.
Mobeireek, Abdullah F.
Batubara, Enas M.
Zalt, Mohammed B.
Alghamdi, Majed A.
author_facet Aljohaney, Ahmed A.
Albanna, Amr S.
Alhajji, Mohammed A.
Mobeireek, Abdullah F.
Batubara, Enas M.
Zalt, Mohammed B.
Alghamdi, Majed A.
author_sort Aljohaney, Ahmed A.
collection PubMed
description OBJECTIVES: To assess current adherence to international guidelines for practitioners of bronchoscopy in the Kingdom of Saudi Arabia. METHODS: A cross-sectional survey was conducted in Saudi Arabia between December 2016 and March 2017. Pulmonologists, thoracic surgeons, and intensivists were invited to answer an emailed self-administered questionnaire survey seeking information on how they performed flexible bronchoscopy in adults. The data collected were compared between the 3 specialties. RESULTS: Eighty-two (18%) of 456 invited practitioners completed the survey. Fifty-eight (72%) of the 82 respondents were pulmonologists. Forty (53%) of 76 respondents (93%) who had received bronchoscopy training received it abroad. Twenty-seven respondents (33%) had also received training in endobronchial ultrasound, electrocautery, brachytherapy, stent insertion, and laser procedures. Fifty-eight respondents (70%) preferred patients to undergo fasting for at least 4 hours before the procedure. Lidocaine was used for topical anesthesia, mainly by aerosol spray or nebulization. Midazolam was used by 62%, fentanyl by 50%, and propofol by 12% of respondents. Ninety percent of pulmonologists reported requesting a chest radiograph after transbronchial lung biopsy. Safety procedures for bronchoscopists, for example, wearing masks and eye protection, and for patients, for example, availability of anesthetic reversal agents, were not universally applied. CONCLUSION: Bronchoscopy is not standardized in Saudi Arabia. National guidelines for the indications and practice of bronchoscopy are required.
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spelling pubmed-64682012019-05-01 Survey of flexible bronchoscopy practice in adults in Saudi Arabia Aljohaney, Ahmed A. Albanna, Amr S. Alhajji, Mohammed A. Mobeireek, Abdullah F. Batubara, Enas M. Zalt, Mohammed B. Alghamdi, Majed A. Saudi Med J Original Article OBJECTIVES: To assess current adherence to international guidelines for practitioners of bronchoscopy in the Kingdom of Saudi Arabia. METHODS: A cross-sectional survey was conducted in Saudi Arabia between December 2016 and March 2017. Pulmonologists, thoracic surgeons, and intensivists were invited to answer an emailed self-administered questionnaire survey seeking information on how they performed flexible bronchoscopy in adults. The data collected were compared between the 3 specialties. RESULTS: Eighty-two (18%) of 456 invited practitioners completed the survey. Fifty-eight (72%) of the 82 respondents were pulmonologists. Forty (53%) of 76 respondents (93%) who had received bronchoscopy training received it abroad. Twenty-seven respondents (33%) had also received training in endobronchial ultrasound, electrocautery, brachytherapy, stent insertion, and laser procedures. Fifty-eight respondents (70%) preferred patients to undergo fasting for at least 4 hours before the procedure. Lidocaine was used for topical anesthesia, mainly by aerosol spray or nebulization. Midazolam was used by 62%, fentanyl by 50%, and propofol by 12% of respondents. Ninety percent of pulmonologists reported requesting a chest radiograph after transbronchial lung biopsy. Safety procedures for bronchoscopists, for example, wearing masks and eye protection, and for patients, for example, availability of anesthetic reversal agents, were not universally applied. CONCLUSION: Bronchoscopy is not standardized in Saudi Arabia. National guidelines for the indications and practice of bronchoscopy are required. Saudi Medical Journal 2019-03 /pmc/articles/PMC6468201/ /pubmed/30834418 http://dx.doi.org/10.15537/smj.2019.3.23964 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Aljohaney, Ahmed A.
Albanna, Amr S.
Alhajji, Mohammed A.
Mobeireek, Abdullah F.
Batubara, Enas M.
Zalt, Mohammed B.
Alghamdi, Majed A.
Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title_full Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title_fullStr Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title_full_unstemmed Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title_short Survey of flexible bronchoscopy practice in adults in Saudi Arabia
title_sort survey of flexible bronchoscopy practice in adults in saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468201/
https://www.ncbi.nlm.nih.gov/pubmed/30834418
http://dx.doi.org/10.15537/smj.2019.3.23964
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