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Respir Investig. 2019 Feb 6. pii: S2212-5345(18)30230-2. doi: 10.1016/j.resinv.2018.12.007. [Epub ahead of print]

Current status of diagnostic and therapeutic bronchoscopy in Japan: 2016 national survey of bronchoscopy.

Author information

1
Department of General Thoracic Surgery, Saitama City Hospital, 246 Midori-ku, Saitama-city, Saitama 366-8522, Japan. Electronic address: h-horinouchi-resp@saitama-city-hsp.jp.
2
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Gifu, 500-8717, Japan. Electronic address: asano-fm@ceres.ocn.ne.jp.
3
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, TMDU, Tokyo 113-8510, Japan. Electronic address: okubo.thsr@tmd.ac.jp.
4
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Miyagi 980-8575, Japan. Electronic address: yoshinori.okada.a1@tohoku.ac.jp.
5
Respiratory Center, Asahikawa Medical University, Asahikawa, Hokkaido 078-8510, Japan. Electronic address: yosaki@asahikawa-med.ac.jp.
6
Department of Respiratory Internal Medicine, St. Marianna University, School of Medicine, Yokohama-City Seibu Hospital, Kanagawa 241-0811, Japan. Electronic address: yukomase@marianna-u.ac.jp.
7
Department of General Thoracic Surgery, NHO Kanagawa National Hospital, Kanagawa 257-8585, Japan. Electronic address: 223ady1@hosp.go.jp.
8
Division of Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Kanagawa 259-1193, Japan. Electronic address: kohno@tokai.ac.jp.
9
Kagawa Kenritsu Chuo Hospital, Kagawa 760-8557, Japan. Electronic address: m-aoe@chp-kagawa.jp.

Abstract

BACKGROUND:

The safety management committee of the Japan Society for Respiratory Endoscopy (JSRE) conducted national surveys to clarify the state of diagnostic and therapeutic bronchoscopy in 2016.

METHODS:

Questionnaire forms were mailed to 532 JSRE-accredited facilities throughout Japan. We surveyed the actual condition of clinical practice and cases of bronchoscopy during 2016.

RESULTS:

Four hundred and thirty-three facilities responded giving a response rate of 81.4%; 67.6% held more than 400 beds. The average number of board accredited senior Fellows and Fellows per facility was 1.9 and 3.2, respectively. Diagnostic bronchoscopy was performed in a hospitalized setting in 74.6% of all facilities. The radial type ultrasound probe was operated in 51.7% of all facilities. The number of facilities has markedly increased compared with that reported in the 2010 survey (19.6%). The bronchoscopic navigation system had been in operation in 41.7% of all facilities. Antithrombotic drugs were adjusted before biopsy in 96.8% of all facilities. For intravenous sedation, midazolam was the first choice in 76.9% of all facilities. Endobronchial ultrasound guided transbronchial lymph node needle aspiration (EBUS-TBNA) has become popular over the decade (19.6% in 2010 to 68.1% in 2016). The mean number of the board accredited senior Fellows and board accredited Fellows increased in comparison with that in 2010. As a new technique, radial type ultrasound-guided peripheral approach has become popular.

CONCLUSIONS:

Through this survey, the advanced safety of bronchoscopic examination has been secured in many facilities. A continuous monitoring of bronchoscopic practices with respect to safety management is recommended.

KEYWORDS:

Diagnostic bronchoscopy; Guide sheath method; Radial type endobronchial ultrasound; Virtual navigation bronchoscopy; bronchoscopy safety

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