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Endobronchial ultrasound (EBUS) is frequently used in pneumology for diagnostic procedures like mediastinal biopsies. This procedure is usually done under general anesthesia. Different methods of ventilation are used according to center and physician preferences. In this retrospective study, complications of 2 types of ventilation will be analyzed:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EBUS_cohort | All patients who underwent EBUS between January 1st 2019 and december 31st 2019 or January 1st 2023 and december 31st 2023 at Erasme University Hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ventilation type | Procedure | Type of ventilation used during the EBUS procedure, either HFJV or IPPV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hypoxia | defined as an SpO2 < 90% for more than 1 min | 24 hours |
| Severe hypoxia | defined as an SpO2 (oxygen saturation by pulse oximetry) < 85% for more than 1 min | 24 hours |
| Hemodynamic instability | defined as a systolic arterial blood pressure < 90/60 mm Hg | 24 hours |
| Cardiac arrythmia | Any cardiac rhythm other than sinus rhythm | 24 hours |
| Laryngospasm | Any occurence of laryngospasm | 24 hours |
| ICU admission | Necessity for admission to the intensive care unit (ICU) | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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All patients who underwent EBUS for any indication at Erasme University Hospital using either HFJV or IPPV between january 1st 2019 and december 31st 2019 or january 1st 2023 and december 31st 2023.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Universitaire de Bruxelles - Hôpital erasme | Brussels | 1070 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27829719 | Background | Prasad KT, Sehgal IS, Gupta N, Singh N, Agarwal R, Dhooria S. Endoscopic ultrasound (with an echobronchoscope)-guided fine-needle aspiration for diagnosis of a mediastinal lesion in a mechanically ventilated patient: A case report and systematic review of the literature. Indian J Crit Care Med. 2016 Oct;20(10):608-612. doi: 10.4103/0972-5229.192057. | |
| 32453167 |
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| Anwar M, Fritze R, Base E, Wasserscheid T, Wolfram N, Koinig H, Hackner K, Lambers C, Schweiger T, Errhalt P, Hoda MA. Infraglottic versus supraglottic jet-ventilation for endobronchial ultrasound-guided transbronchial needle aspiration: A randomised controlled trial. Eur J Anaesthesiol. 2020 Nov;37(11):999-1007. doi: 10.1097/EJA.0000000000001220. |
| 1138745 | Background | Poling HE, Wolfson B, Siker ES. A technique of ventilation during laryngoscopy and bronchoscopy. Br J Anaesth. 1975 Mar;47(3):382-4. doi: 10.1093/bja/47.3.382. |
| 338247 | Background | Klain M, Smith RB. High frequency percutaneous transtracheal jet ventilation. Crit Care Med. 1977 Nov-Dec;5(6):280-7. doi: 10.1097/00003246-197711000-00007. No abstract available. |
| 10825336 | Background | Hautmann H, Gamarra F, Henke M, Diehm S, Huber RM. High frequency jet ventilation in interventional fiberoptic bronchoscopy. Anesth Analg. 2000 Jun;90(6):1436-40. doi: 10.1097/00000539-200006000-00034. |