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Presentazione di PowerPoint - Master in Pneumologia Interventistica

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Fiberoptic Bronchoscopy (FOB) <strong>in</strong> the Airway<br />

management of the critically ill patients<br />

Intubated PTS<br />

Not <strong>in</strong>tubated PTS<br />

FOB performed <strong>in</strong> ICU <strong>in</strong> critically ill patients is relatively safe,<br />

but an appropriate risk–benefit analysis is always necessary.<br />

When bronchoscopy is performed on extubated patients, stability<br />

of oxygenation and ventilation must be assessed and the risk of<br />

respiratory failure from sedation, me<strong>di</strong>cations, or the procedure<br />

itself must be determ<strong>in</strong>e.<br />

The bronchoscopist must be skilled <strong>in</strong> <strong>in</strong>tubation either by <strong>di</strong>rect<br />

laryngoscopy or over a bronchoscope, <strong>in</strong> case of respiratory<br />

failure.

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