CARDIAC ARRHYTHMIA AND HEMODYNAMIC EFFECTS DURING FIBEROPTIC BRONCHOSCOPY

Background: Arterial hypoxaemia is the commonest complication, since respiratory depressant drugs are used for premedication, and the airway is also partially occluded by the bronchoscope. The study is therefore designed to nd out the changes in arterial oxygen tension during FOB along with effect on central hemodynamics, electrocardiographically. Objectives: · To nd out the changes in arterial oxygen tension during FOB. · To study the effects of beroptic bronchoscopy on central hemodynamics, electrocardiographically. Methods: 100 patients aged 20 years and above undergoing FOB were evaluated for the arterial oxygen tension and cardiac rhythm changes at KNCH, Jodhpur. Results: All patients developed a fall in PaO2 following FOB which was highly signicant but hypoxaemia was noted only in 18 cases. There was a uniform rise in heart rate in all the patients after FOB which was statistically signicant. There was slight sinus tachycardia in most of the cases although E.C.G. indicated no major arrhythmias. There was no signicant change in pH level. Mean of SBP and mean of DBP was statistically signicant. Conclusion: All patients showed a decline in arterial PaO2 after FOB which was highly signicant. There was slight sinus tachycardia in most of cases. FOB itself does not endanger the patients with any signicant or serious complications.