Sample size was calculated by using the proportions as reported by Khalil KF et al.,11 93 patients with suspected PTB who were sputum-sarce were subjected to
bronchoscopy. PTB was confirmed by bronchial wash Gene Xpert in 81, p = 87.09% of them, with 95% confidential interval and 6% of margin of error, the sample size stands n = 120.
EBUS-TBNA can be performed with rigid
bronchoscopy in some special cases requiring a secured airway for performing additional therapeutic procedures.
In our study, 8 (18.2%) patients had no finding of foreign body on
bronchoscopy. Previous studies (9,10,13,18,19) have shown similar rates of negative
bronchoscopy (10-38%).
Food and drinks were withheld at least 6 hours prior to
Bronchoscopy.
In 2015, a U.S.-based company introduced a 23-gene bronchial genomic classifier that complements
bronchoscopy to increase its accuracy among patients undergoing a work-up for pulmonary nodules and lesions.
TBLB requires some training on part of pulmonologists and if utilized during
bronchoscopy, can help in the diagnosis of various pulmonary disorders without requiring surgical lung biopsy thus avoidance of patients from invasive surgical lung biopsy.
Rigid
bronchoscopy is one of the best method of removal of foreign body airway as it ensures patency of the airways during removal, prevents the foreign body from damaging the mucosa as the foreign body is usually pulled into the lumen of the bronchoscope and ensures adequate ventilation during the procedure1,2.
Scarring airway stenosis patients from 18 tertiary hospitals who underwent interventional
bronchoscopy treatment were admitted between January 2013 and June 2016.
Patients provided informed consent and subsequently were sedated prior to
bronchoscopy. Following sedation, a wire-shafted, BBL CultureSwab (Becton Dickinson, Franklin Lakes, NJ) was used to sample the posterior nasopharynx per routine protocol and subsequently placed in 3 mL of M5 viral transport media (Remel, Lenexa, KS).
The patient underwent flexible
bronchoscopy which revealed subglottic stenosis, bilateral fixed vocal cords due to thickening, and fibrosis.
Bronchoscopy with flexible and rigid instruments is diagnostic and resolutive [2, 3].
The patient was then taken immediately to the operating room for microsuspension laryngoscopy and
bronchoscopy.