HYPOXEMIA DURING BRONCHOSCOPY PROCEDURE:
WHAT WE NEED TO UNDERSTAND AND HOW TO ANTICIPATE IT
Sri Indah Indriani*, Chyntia Triana Putri, Elvando Tunggul Mauliate Simatupang,
Arya Marganda Simanjuntak, Adelia Pratiwi
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine,
Riau University, Pekanbaru, Riau
ABSTRACT
By inserting a Diagnostic Sign (bronchoscope) into the airway, bronchoscopy is an invasive medical treatment that allows tracheobronchial viewing in order to evaluate pathological abnormalities that develop in the lung. The importance of bronchoscopy is growing as lung disease cases become more complex and the demand for minimally invasive diagnostic methods rises. Use of bronchoscopy as a diagnostic and therapeutic tool are its two primary indications. With a low morbidity rate (0.1–2.5%) and a very low fatality rate (0.05%), bronchoscopy is a surgery that is generally considered to be safe. The risk of consequences from bronchoscopy still exists, one of which being hypoxemia. One of the most frequent side effects brought on by several variables is hypoxemia. Due to the use of sedation during bronchoscopy, hypoxemia frequently happens. This situation is often transient and is reversible. The operator must take into account the possibility of hypoxemia while doing the process in order to know when to stop. Hypoxemia should be anticipated, therefore monitoring and oxygen supplementation should be priorities during the process.
Keywords: Hypoxemia, Complications, Bronchoscopy