Bonne pratique de la fibroscopie bronchique chez le patient ventilé

Practice of fiberoptic bronchoscopy in intensive care units is not associated with major adverse effects but need particular attention in mechanically-ventilated patients. To avoid worsening ventilation particularly in hypoxemic patients, a difference in external diameters of bronchoscope and endotracheal tube is important as well as a modification of the settings of the alarms in the ventilator. The number of fiberoptic bronchoscopy performed during non invasive ventilation is increasing and the first reports suggest a good tolerance of this procedure. However, indications of bronchoscopy need to be carefully evaluated as well as the balance safety/benefit in these patients. Studies are warranted to precise and improve the tolerance of fiberoptic bronchoscopy in these conditions.