Guidelines for Minimizing Bleeding Risk During Bronchoscopic Procedures

This article presents recommendations aimed at reducing the risk of bleeding during bronchoscopy. The document was developed by a working group convened by the Polish Respiratory Society, which included pulmonologists experienced in bronchoscopic procedures, an anesthesiologist, a thoracic surgeon, a cardiologist, a hematologist, a nurse, and methodologists. Clinical questions were formulated according to the PICO (Population, Intervention, Comparison, Outcome) framework, followed by a systematic literature search and critical appraisal of the selected studies. Based on these data, 13 recommendations/good clinical practice points were developed addressing bronchoscopy in patients with thrombocytopenia, abnormal activated partial thromboplastin time or international normalized ratio results, and in those receiving antiplatelet agents, oral anticoagulants, or low-molecular-weight heparin.

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Publication Details

Journal
Advances in respiratory medicine
Published
2026-06-30
DOI
https://doi.org/10.3390/arm94040044
Primary Topic
Gastrointestinal Bleeding Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
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article

Guidelines for Minimizing Bleeding Risk During Bronchoscopic Procedures

J. Zając, Rafał Krenke, Małgorzata Czajkowska‐Malinowska, Bartosz Hudzik et al.
Advances in respiratory medicine
Gastrointestinal Bleeding Diagnosis and Treatment
article

Guidelines for Minimizing Bleeding Risk During Bronchoscopic Procedures

J. Zając, Rafał Krenke, Małgorzata Czajkowska‐Malinowska, Bartosz Hudzik, Adam Barczyk, Anna Andrychiewicz, Jerzy Soja, Katarzyna Górska, Wojciech Naumnik, Filip Mejza, Jerzy Windyga, Piotr Korczyński, Artur Szlubowski, Cezary Piwkowski, Wojciech J. Piotrowski
article en

Abstract

This article presents recommendations aimed at reducing the risk of bleeding during bronchoscopy. The document was developed by a working group convened by the Polish Respiratory Society, which included pulmonologists experienced in bronchoscopic procedures, an anesthesiologist, a thoracic surgeon, a cardiologist, a hematologist, a nurse, and methodologists. Clinical questions were formulated according to the PICO (Population, Intervention, Comparison, Outcome) framework, followed by a systematic literature search and critical appraisal of the selected studies. Based on these data, 13 recommendations/good clinical practice points were developed addressing bronchoscopy in patients with thrombocytopenia, abnormal activated partial thromboplastin time or international normalized ratio results, and in those receiving antiplatelet agents, oral anticoagulants, or low-molecular-weight heparin.

Advances in respiratory medicineVol. 94(4)
Poznan University of Medical Sciences (PL), Jagiellonian University (PL), Medical University of Białystok (PL), Medical University of Silesia (PL), Medical University of Warsaw (PL), Instytut Hematologii i Transfuzjologi (PL), University of Bydgoszcz (PL), John Paul II Hospital (PL), Jeanes Hospital (US), Medical University of Lodz (PL), Ministry of Interior (IT), Ministry of Interior and Administration (PL), Silesian Center for Heart Disease (PL)
Openalex Percentile: Top 6%
Gastrointestinal Bleeding Diagnosis and Treatment
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