<![CDATA[Background: Respiratory disorders are a major challenge in the ICU, with 30-50% of patients requiring mechanical ventilation. Flexible bronchoscopy provides direct visualization of the airways and plays a critical role in pulmonary diagnosis and therapy. Although widely used in intensive care units (ICUs) worldwide, data on its effectiveness and safety in Indonesian ICUs remain limited. Method: This is a descriptive, retrospective study using medical records data from patients aged 15 to 85 years who underwent mechanical ventilation in the ICU. Purposive sampling was used, with a sample size of 140. Data were analysed using Microsoft Excel and SPSS. Results: Of 140 samples, most were male (65%), with a mean age of 57.64 years. Comorbidities were present in 83.7%, primarily cardiovascular disease (28.8%). The most common indication was combined diagnostic and therapeutic purposes (45.7%). Chest X-ray improvement was observed in 75.7% of patients. FiO2 requirements increased after bronchoscopy. Most bronchoscopy findings indicated infection (60%), and hypoxemia was the most frequent complication (9.3%). Conclusion: Flexible bronchoscopy is a safe and effective diagnostic and therapeutic procedure.]]>
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