Evaluation of the patient undergoing respiratory endoscopic procedures
Endoscopic techniques can be considered reasonably safe since they are widely used and the rate of complications is extremely low. Still complications do occur and in order to avoid them, the evaluation of the patient before and after any intervention is of the utmost importance. In this article, is...
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doaj-85a14250042a4734a10634eb5aad148d2020-11-24T23:19:35ZengElsevierRevista Portuguesa de Pneumologia0873-21592012-01-011814853Evaluation of the patient undergoing respiratory endoscopic proceduresA. Magalhães0Bronchoscopy Unit, Pulmonology Department, Hospital de São João, Porto, PortugalEndoscopic techniques can be considered reasonably safe since they are widely used and the rate of complications is extremely low. Still complications do occur and in order to avoid them, the evaluation of the patient before and after any intervention is of the utmost importance. In this article, issues concerning the preparation of the patient and informed consent, the general assessment â medical history, current medications, physical examination, laboratory tests, radiological evaluation and analysis of the indication and planning will be addressed. The post intervention evaluation will also be discussed, in order to detect and treat complications and decide on the final guidance for the patient after discharge.There are very few up-to-date studies or publications dealing with these areas, the evidence level remains low and most recommendations are based on common sense and expert opinion. Resumo: As técnicas endoscópicas podem ser consideradas razoavelmente seguras dado que são amplamente utilizadas e o Ãndice de complicações é extremamente reduzido. Ainda assim, ocorrem complicações e, para as evitar, a avaliação do paciente antes e depois de qualquer intervenção, é da maior importância. Neste artigo, serão abordadas as questões relacionadas com a preparação do paciente e o consentimento esclarecido, a avaliação geral â historial médico, medicação actual, exame fÃsico, testes de laboratório, avaliação radiológica e análise da indicação e planeamento. A avaliação após a intervenção também será discutida, para detectar e tratar complicações e determinar a orientação final para o paciente, após a alta.Existem muito poucos estudos ou publicações actualizados que abordem estas áreas, o nÃvel de evidência permanece baixo e a maioria das recomendações baseiam-se no bom senso e na opinião de peritos. Keywords: Endoscopic techniques, Bronchoscopy, Thoracoscopy, Pre-evaluation, Post-evaluation, Palavras-chave: Técnicas endoscópicas, Broncoscopia, Toracoscopia, Pré-avaliação, Pós-avaliaçãohttp://www.sciencedirect.com/science/article/pii/S0873215911001395 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A. Magalhães |
spellingShingle |
A. Magalhães Evaluation of the patient undergoing respiratory endoscopic procedures Revista Portuguesa de Pneumologia |
author_facet |
A. Magalhães |
author_sort |
A. Magalhães |
title |
Evaluation of the patient undergoing respiratory endoscopic procedures |
title_short |
Evaluation of the patient undergoing respiratory endoscopic procedures |
title_full |
Evaluation of the patient undergoing respiratory endoscopic procedures |
title_fullStr |
Evaluation of the patient undergoing respiratory endoscopic procedures |
title_full_unstemmed |
Evaluation of the patient undergoing respiratory endoscopic procedures |
title_sort |
evaluation of the patient undergoing respiratory endoscopic procedures |
publisher |
Elsevier |
series |
Revista Portuguesa de Pneumologia |
issn |
0873-2159 |
publishDate |
2012-01-01 |
description |
Endoscopic techniques can be considered reasonably safe since they are widely used and the rate of complications is extremely low. Still complications do occur and in order to avoid them, the evaluation of the patient before and after any intervention is of the utmost importance. In this article, issues concerning the preparation of the patient and informed consent, the general assessment â medical history, current medications, physical examination, laboratory tests, radiological evaluation and analysis of the indication and planning will be addressed. The post intervention evaluation will also be discussed, in order to detect and treat complications and decide on the final guidance for the patient after discharge.There are very few up-to-date studies or publications dealing with these areas, the evidence level remains low and most recommendations are based on common sense and expert opinion. Resumo: As técnicas endoscópicas podem ser consideradas razoavelmente seguras dado que são amplamente utilizadas e o Ãndice de complicações é extremamente reduzido. Ainda assim, ocorrem complicações e, para as evitar, a avaliação do paciente antes e depois de qualquer intervenção, é da maior importância. Neste artigo, serão abordadas as questões relacionadas com a preparação do paciente e o consentimento esclarecido, a avaliação geral â historial médico, medicação actual, exame fÃsico, testes de laboratório, avaliação radiológica e análise da indicação e planeamento. A avaliação após a intervenção também será discutida, para detectar e tratar complicações e determinar a orientação final para o paciente, após a alta.Existem muito poucos estudos ou publicações actualizados que abordem estas áreas, o nÃvel de evidência permanece baixo e a maioria das recomendações baseiam-se no bom senso e na opinião de peritos. Keywords: Endoscopic techniques, Bronchoscopy, Thoracoscopy, Pre-evaluation, Post-evaluation, Palavras-chave: Técnicas endoscópicas, Broncoscopia, Toracoscopia, Pré-avaliação, Pós-avaliação |
url |
http://www.sciencedirect.com/science/article/pii/S0873215911001395 |
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