الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Endoscopic techniques, flexible, rigid bronchoscopy and thoracoscopy are central tools in the evaluation and treatment of respiratory disorders and their use has been steadily growing. (1)
Diagnostically, rigid and fiberoptic bronchoscopy are used for sampling of respiratory secretions and cells via bronchial washings, brushings, lavage of peripheral airways and alveoli, and to obtain biopsies of endobronchial, parenchymal, and mediastinal structures whereas therapeutically they are used for suctioning of retained secretions, endobronchial stent placement, balloon dilation of airway stenosis, and other interventional procedures. (4-6)
The healthcare managers that endeavor to achieve excellence consider patient perception when designing strategies for quality improvement of care. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. (65)
Therefore, measurement of patient satisfaction is a legitimate and validated indicator for improving the services and strategic goals for all healthcare organizations. (70)
In recent years, several individual health care organizations have attempted to measure patient experience using variety of quantitative and qualitative approaches. Such approaches include ward/department or unit-level surveys, interviews, focus groups, patient forums, and informal feedback through patient advocacy groups or patient service organizations. Other approaches to capture patient experience include formal complaints, commentary on websites, and feedback on the performance of health care providers for appraisal purposes. (74)
This study was a prospective cohort study assessing patients’ satisfaction pre, during and post bronchoscopic procedure through self- reported questionnaire. The study was conducted at Mansoura and Ain Shams university hospitals over a 6-month period. It included 76 patients with 46 patients underwent fiberoptic bronchoscopy and 30 patients underwent rigid bronchoscopy.
All studied patients were well balanced between both cohorts, They were balanced in terms of age, sex, weight and BMI. However, the mean height of the patients in the rigid bronchoscopy cohort was higher than that of the patients in FOB cohort.
30.4% of the patients underwent FOB described their health as poor versus 3% of the patients underwent rigid.
Most common procedure executed by FOB was “BAL”, while the most common procedure executed with rigid bronchoscopy was “stenting”.
The majority of patients underwent FOB were subjected to local anesthesia without sedation, whereas, all patients underwent rigid bronchoscopy had GA.
almost 61% of the patients underwent FOB suffered from complications during the procedure versus 33.3% of the patients underwent rigid, most common complications were desaturation, arrhythmia, epistaxis, bleeding and shock “neurogenic” which was only manifested in FOB patients. Moreover, Mean duration of the FOB was 22 minutes versus 26 minutes in rigid bronchoscopy.
Most common goals of the FOB procedures were diagnostic whereas goals of rigid were therapeutic
Our study also showed that patients underwent FOB reported more severe symptoms after the procedure compared to patients underwent rigid.
This study also showed that by asking all the patients whether they are willing to repeat the procedure if indicated majority of FOB patients answered never while most of rigid bronchoscopy patients answered maybe.
Most common symptoms patients presented with at the time of procedure productive cough, hemoptysis, fever and chills were more severe among FOB patients while wheezing and shortness of breath were more severe among rigid bronchoscopy patients. Whereas, dry and productive cough, shortness of breath, hemoptysis, nose pain, epistaxis and taste of anesthetic spray were more severe in the patients underwent FOB. In addition, throat pain, swallowing pain, fever and vomiting were more severe in patients underwent rigid bronchoscopy.