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.
Authors
- J. Zając (ORCID: https://orcid.org/0000-0001-7503-5847)
- Rafał Krenke (ORCID: https://orcid.org/0000-0002-0087-2031)
- Małgorzata Czajkowska‐Malinowska (ORCID: https://orcid.org/0000-0001-5661-3816)
- Bartosz Hudzik (ORCID: https://orcid.org/0000-0003-3880-5325)
- Adam Barczyk (ORCID: https://orcid.org/0000-0002-6567-9208)
- Anna Andrychiewicz
- Jerzy Soja (ORCID: https://orcid.org/0000-0003-4562-6675)
- Katarzyna Górska (ORCID: https://orcid.org/0000-0003-4686-910X)
- Wojciech Naumnik (ORCID: https://orcid.org/0000-0003-0693-2848)
- Filip Mejza (ORCID: https://orcid.org/0000-0002-5615-5867)
- Jerzy Windyga (ORCID: https://orcid.org/0000-0001-7877-4784)
- Piotr Korczyński (ORCID: https://orcid.org/0000-0003-2826-4430)
- Artur Szlubowski
- Cezary Piwkowski
- Wojciech J. Piotrowski (ORCID: https://orcid.org/0000-0003-4506-6006)
Institutions
- 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)
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
- 0.00