Association between oxygen saturation level during and post bronchoscopy, a cross- section study in Baghdad Teaching hospital

Posted on by Muthanna Medical Journal

Research article

Volume 11, Issue 2,  2024.  Page 82-93    10.52113/1/1/2024-2-93

Authors
Saja Maher Kamil*1 , Abdulrasool Noori Nassr ALmoosawi  , Mohammed Waheeb Salman Al-Obaidi    

*Correspondence author: sajamaher04@gmail.com

*1 Collage of Medicine, University of Baghdad, Baghdad, Iraq.
 Received 21 May 2024; revised 18 June 2024; accepted 11 July 2024, available online 01 August 2024.
Copyright © 2024 Kamil, et al. This is article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Abstract

Flexible bronchoscopy (FB) diagnoses and treats airway issues by directly visualizing them. The aim of this study is to investigate whether the percutaneous oxygen saturation (Spo2) level during bronchoscopy is associated with the development of hypoxia. We conducted a cross-sectional research of 40 Baghdad Teaching Hospital/Medical City complex patients from October 1, 2023, to March 10, 2024. The University of Baghdad College of Medicine Department of Medicine approved the study protocol. Patients aged > 18 years who underwent FB with continuous percutaneous oxygen saturation monitoring were screened. Our sample has 40 patients with a mean age of 57.97 years and BMI of 24.42 kg/m2. 19 (47.5%) smoked and 22 (55%) were male. Shortness of breath (87.5%) was the most prevalent complaint, followed by cough (45%) and hemoptysis (10%). Diabetes mellitus and hypertension were the most prevalent comorbidities, each in 8 patients (20%). The chest CT scans revealed unilateral lung involvement in 32 patients (80%), bilateral lung lesions in 6 (15%), and normal imaging in 2 (5%). In conclusion; the study results indicate considerable decrease in intra-procedure O2 saturation levels during flexible bronchoscope, regardless of other hypoxia risk variables (BAL, biopsy, operation time, lung illness, etc.). Thus, adults should get high-flow nasal interfaces to prevent hypoxia-related problems during and after the surgery.

Keywords: Bronchoscope, hypoxia, fiberoptic flexible, oxygen saturation BAL, biopsy, time of procedure

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Volume 11, Issue 2, 2024

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Kamil SM, ALmoosawi AN,Al-Obaidi MW. Association between oxygen saturation level during and post bronchoscopy, a cross- section study in Baghdad Teaching hospital. Muthanna Medical Journal. 2024; 11(2):82-93.