download - Malaysian Thoracic Society
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Annual Congress of <strong>Malaysian</strong> <strong>Thoracic</strong> <strong>Society</strong><br />
PP 23<br />
Survey of Bronchoscopy Practice in Malaysia<br />
Mustafa Kamal 2 , Razul Kassim 2 , S K Kunji Kannan 1 , Jamalul Azizi 1<br />
1<br />
Respiratory Department, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia<br />
2<br />
Respiratory Department, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia<br />
Background<br />
Flexible bronchoscopy is one component of the armamentarium used widely in interventional pulmonology<br />
and is a useful diagnostic and research tool. Practices vary widely between practitioners. It is very important<br />
to study and understand the differences in the practice.<br />
Methods<br />
A survey was conducted during annual <strong>Malaysian</strong> <strong>Thoracic</strong> meeting and email survey sent to all members of<br />
the <strong>Malaysian</strong> <strong>Thoracic</strong> <strong>Society</strong> in 2010. 350 questionnaires were sent and 242 (80%) surveys were returned.<br />
Among those who responded only 42 (12.2%) regularly performed bronchoscopy.<br />
Results<br />
The participants consisted of consultants (62%), subspecialty trainees (33%) and postgraduate candidates<br />
(5%). Among the participants were respiratory physicians and respiratory trainees (90.5%) and general<br />
physicians (9.5%). of the 42 responders, 62% were male and 38% were female. About 71.5% of the participants<br />
were trained locally to perform bronchoscopy and the rest were trained in overseas centers (28.5%). Volume<br />
of procedures per year also ranged from less than 30 procedures (23.8%), 31-50 (9.5%), 51-80 (4.8%), 81-100<br />
(4.8%) to more than 100 procedures per year (57.1%). About 76.2% of participants perform the bronchoscopy on<br />
inpatients and 23.8% performed it on day care cases. Majority of the practitioners performed bronchoscopy<br />
under sedation (95%) and a minority under general anaesthesia (5%).<br />
Conclusion<br />
The result of this survey gives us better perspective for the future improvement and development of special<br />
interest group of interventional pulmonology, which is currently in the infant stage in Malaysia. This survey<br />
may indicate the need for common standards for the practice of bronchoscopy in Malaysia.<br />
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