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Bronchoscopic practice in Japan: A Survey by the Japan Society for Respiratory Endoscopy in 2010.
MedLine Citation:
PMID:  23016914     Owner:  NLM     Status:  Publisher    
SUMMARY AT A GLANCE: A questionnaire survey performed in Japan in 2010 (response rate: 95.0%) showed that mobile/thin bronchoscopes (outer diameter ? 4 mm) were used in ? 50% of the facilities accredited by our society, and fluoroscopy systems were used in 99.8%. Intravenous sedation was performed in only 36.1%. ABSTRACT: Background and Objective:  To ensure the safety of bronchoscopic practice, the Japan Society for Respiratory Endoscopy conducted a national survey to investigate the current state of procedure for this technique. Methods:  A questionnaire survey about procedures carried out during the whole of the year 2010 was mailed to 538 facilities accredited by the Society. Results:  Responses were obtained from 511 facilities (95.0%). Rigid bronchoscopes were used in only 18.5% of the facilities, while mobile/thin bronchoscopes were used in ≥50%, and fluoroscopy systems were used in 99.8%. Biopsies were performed after discontinuation of therapy in patients receiving antiplatelet drugs and anticoagulants in 96.7% and 97.4% of the facilities, respectively. Atropine was administered for premedication in 67.5% of the facilities, a decrease from previous surveys. Intravenous sedation was given in 36.1% of the facilities. In 21.9% of these, the procedure was conducted in the outpatient clinic for ≥70% of patients. A bronchoscope was orally inserted in ≥70% of patients in 95.7% of the facilities. Intravenous access was maintained during the examination in 92.5% of the facilities, oxygen saturation was monitored during examinations in 99.0%, oxygen was administered in 97.6%, and resuscitation equipment was available in 96%. In 98.6% of the facilities, bronchoscopes were disinfected using an automatic washing machine, with glutaraldehyde used in 42.2%. Conclusions:  Japan-specific characteristics of bronchoscopic practice were identified. Whether procedures used in Japan meet international guidelines with respect to safety should be monitored continuously. In addition, a Japanese evidence-based consensus is needed. © 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.
Fumihiro Asano; Motoi Aoe; Yoshinobu Ohsaki; Yoshinori Okada; Shinji Sasada; Shigeki Sato; Eiichi Suzuki; Hiroshi Senba; Shozo Fujino; Kazumitsu Ohmori
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  -     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.
Safety Management Committee, Japan Society for Respiratory Endoscopy, Tokyo, Japan.
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