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Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri

Yıl 2023, Cilt: 3 Sayı: 1, 10 - 16, 09.04.2023

Öz

Bronkoskopi, endoskop aracılığıyla solunum yollarının görüntülenmesini sağlayan invaziv bir işlemdir. Bu çalışmanın amacı, işlemin ertelenmesi veya iptal edilmesinin nedenlerini değerlendirmektir. Tanımlayıcı tipteki bu çalışma, Nisan 2019-Ocak 2020 tarihleri arasında bir üniversite hastanesinin endoskopi ünitesinde bronkoskopi olması gereken 80 hastanın katılımıyla yapıldı. Hastaların yaş ortalaması 60,8±13,8 yıl (26-86) ve %18,8'i bronkoskopi deneyimine sahipti. Erteleme oranı %8,1 (n=37) ve iptal oranı %9,4 (n=43) bulundu. İşlemin iptal edilmesinin ilk üç nedeni, hastaların korkusu (%22,5), genel sağlık durumunun kötü olması (%8,8) ve alternatif bir işleme sevk edilmesidir (%8,8). İptal nedenleri üzerinde yapılan incelemede ilk üç nedenin (sırasıyla) işlem öncesi gerekli tetkiklerin (kan tahlili, elektrokardiyografi, solunum fonksiyon testi vb.) eksikliği (%11,3), yaşamsal bulguların stabil olmaması (%8,8) %) ve antikoagülan ilaç alımının durdurulmaması (%4,9) olarak belirlendi. Yaklaşık olarak her on hastadan ikisinde bronkoskopi işleminin ertelendiği veya iptal edildiği görülmektedir. Bronkoskopi ünitelerinde çalışan hekim ve hemşireler, bronkoskopi yapılan hastalarda iptal ve ertelemenin önlenebilir nedenlerini belirlemeli, işlemin iptali ve ertelenmesini önlemek için hastalara ön değerlendirme için ek bilgi ve hatırlatmalar yapmalıdır.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

  • 1. Mahmoud N, Vashisht R, Sanghavi D, Kalanjeri S. Bronchoscopy. Treasure Island (FL): StatPearls Publishing, 2021.
  • 2. Chadha M, Kulshrestha, M, Biyani A. (2015). Anaesthesia for bronchoscopy. Indian J Anaesth. 2015;59(9): 565–73. https://doi.org/10.4103/0019-5049.165851
  • 3. Dammad T, Jalil BA. Flexible bronchoscopy. Díaz-Jimenez J., Rodriguez A, editors. Interventions in Pulmonary Medicine. Springer, Cham. 2018.p.15-33.
  • 4. Keshishyan S, DeLorenzo L, Hammoud K, Avagyan A, Assallum H, Harris K. Infections causing central airway obstruction: role of bronchoscopy in diagnosis and management. J Thorac Dis. 2017;9(6): 1707-24. https://doi.org/10.21037/jtd.2017.06.31
  • 5. Ads A, Auerbach F, Ryan K, El-Ganzouri A. Air-Q laryngeal airway for rescue and tracheal intubation. J Clin Anesth. 2016;32: 108-11.
  • 6. Tan L, Yoneda K, Louie S, Hogarth D, Castro M. Bronchial thermoplasty: a decade of experience: state of the art. J Allergy Clin Immunol Pract. 2019;7(1): 71-80. https://doi.org/10.1016/j.jaip.2018.08.017
  • 7. Alnasser R, Alkhowaiter S, Alhusaini S, Aljarallah B. Factors associated with missed and cancelled appointments in the endoscopy unit: descriptive study. Cureus. 2020;12(3): 7264. https://doi.org/10.7759/cureus.7264
  • 8. Gulsen A, Sever F, Girgin P, Batuhan Tamci N, Yilmaz H. Evaluation of bronchoscopic lung volume reduction coil treatment results in patients with severe emphysema. Clin Respir J. 2017;11(5): 585-92. https://doi.org/:10.1111/ crj.12387.
  • 9. Nakagawa H, Furusawa K, Watanebe S, Kataguchi H, Tsujıoka K. The patient cancellation rates over the latest three years and prophiratctic measures from the viewpoint of medical economics. Toyama Medical Journal. 2018;29(1): 12-6.
  • 10. Sheikh A, Chang A, Godil A, Foliente R, Hill K, Brichler B. Exploring methods to reduce colonoscopy cancellations. Am J Gastroenterol 2019;114. ACG Annual Meeting Abstracts - p S319. https://doi.org/10.14309/01.ajg.0000591744.80386.dc
  • 11. Olds G, Brown T, Cooper G. A prospective survey on the reasons patients fail to complete scheduled endoscopic procedures. Gastrointest Endosc. 2004;59(5): 117.
  • 12. Liang PS, Dominitz Jason A. Striving for efficient, patient-centered endoscopy. Clin Gastroenterol Hepatol. 2016;14(2): 268–70. https://doi.org/10.1016/j.cgh.2015.10.004
  • 13. Finn R, Lloyd B, Patel Y, Allen J, Cornejo J, Davis A, et al. Decreasing endoscopy no-shows using a lean improvement framework. Clin Gastroenterol Hepatol. 2019;17(7): 1224-7. https://doi.org/10.1016/j.cgh.2019.02.002
  • 14. Yılmaz E, Aslan A, Ergin E. Kolonoskopi yapılacak hastalarda bağırsak temizliğine öz etkililik düzeylerinin etkisi. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;5(4): 192-8.
  • 15. Smith H, Brunet N, Boushey R, Kuziernsky C. Barriers to colonoscopy in remote northern Canada: an analysis of cancellations. Int J Circumpolar Health. 2020;79(1): 1-8. https://doi.org/10.1080/22423982.2020.1816678
  • 16. Abu-Sebih H, Ali FS, Coronel E, Chen HC, Wang X, Lum P, et al. Safety of endoscopy in cancer patients with thrombocytopenia and neutropenia. Gastrointest Endosc. 2019;89(5): 937-49. https://doi.org/10.1016/j.gie.2018.12.004
  • 17. Mohan A, Madan K, Hadda V, Tiwari P, Mittal S, Guleria R, et al. Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations. Lung India. 2019;36(Suppl.): 87-9. https://doi.org/10.4103/lungindia.lungindia_108_19
  • 18. Abul Y, Çetinkaya E. Bronchial thermoplasty in asthma treatment. Güncel Göğüs Hastalıkları Serisi. 2015;3(2):194-199. https://doi.org/10.5152/gghs.2015.050
  • 19. Mohan A, Ansari A, Uniyal A, Upadhyay AD, Guleria R. Acute changes in physiological cardiopulmonary parameters during and after flexible fiberoptic bronchoscopy. Lung India. 2016;33(1): 111-2. https://doi.org/10.4103/0970-2113.173067.
  • 20. Du Rand A, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. Summary of the British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults. Thorax. 2013;68(8): 786-7. https://doi.org/10.1136/thoraxjnl-2013-203618.
  • 21. Kang SH, Hyun JJ. Preparation and patient evaluation for safe gastrointestinal endoscopy. Clin Endosc. 2013;46(3): 212-218. https://doi.org/10.5946/ce.2013.46.3.212
  • 22. Youness HA, Keddissi J, Berim I, Awab A. Management of oral antiplatelet agents and anticoagulation therapy before bronchoscopy. J Thorac Dis. 2017;9(Suppl 10): 1022-33. https://doi.org/10.21037/jtd.2017.05.45
  • 23. Abuqayyas S, Raju S, Bartholomew JR, Hweij RA, Mehta AC. Management of antithrombotic agents in patients undergoing flexible bronchoscopy. Eur Respir Rev. 2017;26: 170001. https://doi.org/10.1183/16000617.0001- 2017 24. Souma T, Minesawa T, Yatsuya H, Okamura T, Yamatsuta K, Morikawa S, et al. Risk factors of infectious complications after endobronchial ultrasound-guided transbronchial biopsy. Chest. 2020;158(2): 797-807. https://doi.org/10.1016/j.chest.2020.02.025
  • 25. Partin MR, Gravely A, Gellad ZF, Nugent S, Burgess JF Jr, Shaukat A, et al. Factors associated with missed and cancelled colonoscopy appointments at veterans health administration facilities. Clin Gastroenterol Hepatol. 2016;14(2): 259-67. https://doi.org/10.1016/j.cgh.2015.07.051
  • 26. Semaan R, Lee H, Feller-Kopman D, Lerner A, Mallow C, Thiboutot J, Arias S, et al. Same-day computed tomographic chest imaging for pulmonary nodule targeting with electromagnetic navigation bronchoscopy may decrease unnecessary procedures. e Annals ATS. 2016;13(12): 2223-8. https://doi.org/10.1513/AnnalsATS.201607-522BC

Reasons for postponement and cancellation of the procedure in patients with bronchoscopy

Yıl 2023, Cilt: 3 Sayı: 1, 10 - 16, 09.04.2023

Öz

Bronchoscopy is an invasive procedure enabling to visualize the respiratory tract through an endoscope. The aim of this study was to evaluate the causes for postponement or cancellation of the procedure. This descriptive study was conducted with participation of 80 patients who would have had bronchoscopy in the endoscopy unit of a university hospital between April 2019 and January 2020. The mean age of the patients was 60.8±13.8 years (26-86); 18.8% of patients had bronchoscopy experience. the postponement rate was found 8.1% (n=37) and the cancellation rate was found 9.4% (n=43). The first three causes for the cancellation of the procedure included patients' fear (22.5%), poor overall health status (8.8%) and referral to an alternative procedure (8.8%). It was found after a review on the reasons for delay that the first three reasons (respectively) were lack of tests (blood tests, electrocardiography, pulmonary function test, etc.) required before the procedure (11.3%), unstable vital signs (8.8%), and failure to discontinue anticoagulant drug intake (4.9%). It is observed that the bronchoscopy procedure is postponed or cancelled in approximately two out of every ten patients. The physicians and nurses working in bronchoscopy units should determine the preventable causes of cancellation and postponement in patients undergoing bronchoscopy, and provide additional information and reminders to patients for preliminary evaluation in order to prevent cancellation and postponement of the procedure.

Proje Numarası

Yok

Kaynakça

  • 1. Mahmoud N, Vashisht R, Sanghavi D, Kalanjeri S. Bronchoscopy. Treasure Island (FL): StatPearls Publishing, 2021.
  • 2. Chadha M, Kulshrestha, M, Biyani A. (2015). Anaesthesia for bronchoscopy. Indian J Anaesth. 2015;59(9): 565–73. https://doi.org/10.4103/0019-5049.165851
  • 3. Dammad T, Jalil BA. Flexible bronchoscopy. Díaz-Jimenez J., Rodriguez A, editors. Interventions in Pulmonary Medicine. Springer, Cham. 2018.p.15-33.
  • 4. Keshishyan S, DeLorenzo L, Hammoud K, Avagyan A, Assallum H, Harris K. Infections causing central airway obstruction: role of bronchoscopy in diagnosis and management. J Thorac Dis. 2017;9(6): 1707-24. https://doi.org/10.21037/jtd.2017.06.31
  • 5. Ads A, Auerbach F, Ryan K, El-Ganzouri A. Air-Q laryngeal airway for rescue and tracheal intubation. J Clin Anesth. 2016;32: 108-11.
  • 6. Tan L, Yoneda K, Louie S, Hogarth D, Castro M. Bronchial thermoplasty: a decade of experience: state of the art. J Allergy Clin Immunol Pract. 2019;7(1): 71-80. https://doi.org/10.1016/j.jaip.2018.08.017
  • 7. Alnasser R, Alkhowaiter S, Alhusaini S, Aljarallah B. Factors associated with missed and cancelled appointments in the endoscopy unit: descriptive study. Cureus. 2020;12(3): 7264. https://doi.org/10.7759/cureus.7264
  • 8. Gulsen A, Sever F, Girgin P, Batuhan Tamci N, Yilmaz H. Evaluation of bronchoscopic lung volume reduction coil treatment results in patients with severe emphysema. Clin Respir J. 2017;11(5): 585-92. https://doi.org/:10.1111/ crj.12387.
  • 9. Nakagawa H, Furusawa K, Watanebe S, Kataguchi H, Tsujıoka K. The patient cancellation rates over the latest three years and prophiratctic measures from the viewpoint of medical economics. Toyama Medical Journal. 2018;29(1): 12-6.
  • 10. Sheikh A, Chang A, Godil A, Foliente R, Hill K, Brichler B. Exploring methods to reduce colonoscopy cancellations. Am J Gastroenterol 2019;114. ACG Annual Meeting Abstracts - p S319. https://doi.org/10.14309/01.ajg.0000591744.80386.dc
  • 11. Olds G, Brown T, Cooper G. A prospective survey on the reasons patients fail to complete scheduled endoscopic procedures. Gastrointest Endosc. 2004;59(5): 117.
  • 12. Liang PS, Dominitz Jason A. Striving for efficient, patient-centered endoscopy. Clin Gastroenterol Hepatol. 2016;14(2): 268–70. https://doi.org/10.1016/j.cgh.2015.10.004
  • 13. Finn R, Lloyd B, Patel Y, Allen J, Cornejo J, Davis A, et al. Decreasing endoscopy no-shows using a lean improvement framework. Clin Gastroenterol Hepatol. 2019;17(7): 1224-7. https://doi.org/10.1016/j.cgh.2019.02.002
  • 14. Yılmaz E, Aslan A, Ergin E. Kolonoskopi yapılacak hastalarda bağırsak temizliğine öz etkililik düzeylerinin etkisi. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;5(4): 192-8.
  • 15. Smith H, Brunet N, Boushey R, Kuziernsky C. Barriers to colonoscopy in remote northern Canada: an analysis of cancellations. Int J Circumpolar Health. 2020;79(1): 1-8. https://doi.org/10.1080/22423982.2020.1816678
  • 16. Abu-Sebih H, Ali FS, Coronel E, Chen HC, Wang X, Lum P, et al. Safety of endoscopy in cancer patients with thrombocytopenia and neutropenia. Gastrointest Endosc. 2019;89(5): 937-49. https://doi.org/10.1016/j.gie.2018.12.004
  • 17. Mohan A, Madan K, Hadda V, Tiwari P, Mittal S, Guleria R, et al. Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations. Lung India. 2019;36(Suppl.): 87-9. https://doi.org/10.4103/lungindia.lungindia_108_19
  • 18. Abul Y, Çetinkaya E. Bronchial thermoplasty in asthma treatment. Güncel Göğüs Hastalıkları Serisi. 2015;3(2):194-199. https://doi.org/10.5152/gghs.2015.050
  • 19. Mohan A, Ansari A, Uniyal A, Upadhyay AD, Guleria R. Acute changes in physiological cardiopulmonary parameters during and after flexible fiberoptic bronchoscopy. Lung India. 2016;33(1): 111-2. https://doi.org/10.4103/0970-2113.173067.
  • 20. Du Rand A, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. Summary of the British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults. Thorax. 2013;68(8): 786-7. https://doi.org/10.1136/thoraxjnl-2013-203618.
  • 21. Kang SH, Hyun JJ. Preparation and patient evaluation for safe gastrointestinal endoscopy. Clin Endosc. 2013;46(3): 212-218. https://doi.org/10.5946/ce.2013.46.3.212
  • 22. Youness HA, Keddissi J, Berim I, Awab A. Management of oral antiplatelet agents and anticoagulation therapy before bronchoscopy. J Thorac Dis. 2017;9(Suppl 10): 1022-33. https://doi.org/10.21037/jtd.2017.05.45
  • 23. Abuqayyas S, Raju S, Bartholomew JR, Hweij RA, Mehta AC. Management of antithrombotic agents in patients undergoing flexible bronchoscopy. Eur Respir Rev. 2017;26: 170001. https://doi.org/10.1183/16000617.0001- 2017 24. Souma T, Minesawa T, Yatsuya H, Okamura T, Yamatsuta K, Morikawa S, et al. Risk factors of infectious complications after endobronchial ultrasound-guided transbronchial biopsy. Chest. 2020;158(2): 797-807. https://doi.org/10.1016/j.chest.2020.02.025
  • 25. Partin MR, Gravely A, Gellad ZF, Nugent S, Burgess JF Jr, Shaukat A, et al. Factors associated with missed and cancelled colonoscopy appointments at veterans health administration facilities. Clin Gastroenterol Hepatol. 2016;14(2): 259-67. https://doi.org/10.1016/j.cgh.2015.07.051
  • 26. Semaan R, Lee H, Feller-Kopman D, Lerner A, Mallow C, Thiboutot J, Arias S, et al. Same-day computed tomographic chest imaging for pulmonary nodule targeting with electromagnetic navigation bronchoscopy may decrease unnecessary procedures. e Annals ATS. 2016;13(12): 2223-8. https://doi.org/10.1513/AnnalsATS.201607-522BC
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Araştırma Makaleleri
Yazarlar

Zeynep Kızılcık Özkan 0000-0003-1892-241X

Bilkay Serez 0000-0002-4348-5197

Nihal Gacemer 0000-0003-1768-4093

Emine Kaskun 0000-0002-9292-2605

Proje Numarası Yok
Yayımlanma Tarihi 9 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 3 Sayı: 1

Kaynak Göster

APA Kızılcık Özkan, Z., Serez, B., Gacemer, N., Kaskun, E. (2023). Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri. Abant Sağlık Bilimleri Ve Teknolojileri Dergisi, 3(1), 10-16.
AMA Kızılcık Özkan Z, Serez B, Gacemer N, Kaskun E. Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri. SABİTED. Nisan 2023;3(1):10-16.
Chicago Kızılcık Özkan, Zeynep, Bilkay Serez, Nihal Gacemer, ve Emine Kaskun. “Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme Ve İptal Nedenleri”. Abant Sağlık Bilimleri Ve Teknolojileri Dergisi 3, sy. 1 (Nisan 2023): 10-16.
EndNote Kızılcık Özkan Z, Serez B, Gacemer N, Kaskun E (01 Nisan 2023) Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri. Abant Sağlık Bilimleri ve Teknolojileri Dergisi 3 1 10–16.
IEEE Z. Kızılcık Özkan, B. Serez, N. Gacemer, ve E. Kaskun, “Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri”, SABİTED, c. 3, sy. 1, ss. 10–16, 2023.
ISNAD Kızılcık Özkan, Zeynep vd. “Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme Ve İptal Nedenleri”. Abant Sağlık Bilimleri ve Teknolojileri Dergisi 3/1 (Nisan 2023), 10-16.
JAMA Kızılcık Özkan Z, Serez B, Gacemer N, Kaskun E. Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri. SABİTED. 2023;3:10–16.
MLA Kızılcık Özkan, Zeynep vd. “Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme Ve İptal Nedenleri”. Abant Sağlık Bilimleri Ve Teknolojileri Dergisi, c. 3, sy. 1, 2023, ss. 10-16.
Vancouver Kızılcık Özkan Z, Serez B, Gacemer N, Kaskun E. Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri. SABİTED. 2023;3(1):10-6.