Zusammenfassung
Die flexible Bronchoskopie ist ein bedeutender Pfeiler der pneumologischen
Diagnostik. Der Untersucher operiert hierbei in einem vital notwendigen
Organ und daher beinhaltet die Untersuchung ein nicht unerhebliches
Gefährdungspotential für den Patienten. Dieser
Artikel gibt eine Übersicht über alle wesentlichen
Komplikationen, welche in diesem Zusammenhang auftreten können
und legt dar, wie das Risiko minimiert werden kann. Ein erfahrenes
Untersuchungsteam, eine sicherheitsbetonte Patientenüberwachung
sowie ein umfassendes Notfallinstrumentarium sind die Basis für
eine geringe Rate an schwerwiegenden Komplikationen.
Summary
Flexible bronchoscopy is one of the most important diagnostic
procedures in respiratory medicine. The investigator operates in
a vital organ and therefore must face a broad range of potential complications.
This article provides an overview of all important complications
associated with flexible bronchoscopy. It is further discussed how
this risk can be minimized. A skillfull team, close monitoring and
readily available resuscitation facilities are mandatory to avoid
and to deal with major complications.
Schlüsselwörter
flexible Bronchoskopie - Komplikationen - Risikominimierung
Keywords
flexible bronchoscopy - complications - risk mitigation
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Dr. med. Kaid Darwiche
Thoraxzentrum Ruhrgebiet, Evangelisches Krankenhaus Herne-Betriebsstelle
Eickel, Klinik für Pneumologie und Infektiologie
Hordeler Str. 7–9
44651 Herne
Phone: 02323/498-92454
Email: k.darwiche@evk-herne.de
