Document Detail

Fiberoptic bronchoscopy in bronchial asthma. A word of caution.
MedLine Citation:
PMID:  1244285     Owner:  NLM     Status:  MEDLINE    
Three instances of intense laryngospasm and bronchospasm occurred as a result of fiberoptic bronchoscopic examination in three patients with quiescent bronchial asthma. The indications for the procedure were hemoptysis in one patient and lobar collapse in two. It is likely that vagally mediated reflex laryngospasm and bronchoconstriction occur when irritant receptors are mechanically stimulated by the bronchoscope. Therefore, in the asthmatic population with its increased airway reactivity, indications for fiberoptic bronchoscopy should be absolute, and the procedure should be performed under optimal conditions. A rationale for minimizing the risk of this procedure in patients with bronchial asthma is discussed.
S A Sahn; C Scoggin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  69     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1976 Jan 
Date Detail:
Created Date:  1976-03-01     Completed Date:  1976-03-01     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  AIM; IM    
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MeSH Terms
Asthma / complications,  diagnosis*
Bronchial Spasm / etiology*
Bronchoscopy / adverse effects*,  methods
Fiber Optic Technology*
Laryngismus / etiology*
Middle Aged

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