Risks and complications of nonbronchoscopic bronchoalveolar lavage in a pediatric intensive care unit

被引:17
作者
Morrow, B [1 ]
Argent, A [1 ]
机构
[1] Red Cross War Mem Childrens Hosp, Dept Physiotherapy, ZA-7700 Rondebosch, Cape Town, South Africa
关键词
bronchoalveolar lavage; nonbronchoscopic alvelolar lavage; risks; intensive care; pneumonia; children;
D O I
10.1002/ppul.1147
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This paper aims to document the risks and complications of nonbronchoscopic bronchoalveolar lavage (NB-BAL) in 35 mechanically ventilated patients with diffuse severe pneumonia in a single pediatric intensive care unit. A prospective collection of data on patients' ventilatory settings and oxygen requirements before NB-BAIL, and oxyhemoglobin saturations and heart rate readings before, during, and after the procedure were taken on each patient. The major complication of NB-BAL was arterial desaturation, which was more severe and prolonged in patients with poor oxygenation indices and PaO2/FiO(2) ratios. The diagnostic yield of the procedure was high at 69%. (C) 2001 Wiley-Liss, Inc.
引用
收藏
页码:378 / 384
页数:7
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