BRONCHOSCOPY IN THE INTENSIVE-CARE UNIT

被引:93
作者
JOLLIET, P [1 ]
CHEVROLET, JC [1 ]
机构
[1] HOP CANTONAL GENEVA, 24 RUE MICHELI CREST, CH-1211 GENEVA 4, SWITZERLAND
关键词
BRONCHOSCOPY; MECHANICAL VENTILATION; HEMOPTYSIS; ATELECTASIS; BRONCHOALVEOLAR LAVAGE; HIGH-FREQUENCY JET VENTILATION;
D O I
10.1007/BF01709240
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The development of the flexible, fiberoptic bronchoscope has made bronchoscopic examinations possible in ICU patients undergoing mechanical ventilation. Over the years, the number of such procedures has greatly increased, with both diagnostic and therapeutic objectives, such as performing difficult intubation, management of atelectasis and hemoptysis, diagnosis of nosocomial pneumonia in ventilated patients, and early detection of airway lesions in selected situations, such as high-frequency ventilation. The complication rate can be kept low if the endoscopist has a precise knowledge of the many pathophysiological and technical facets particular to bronchoscopy under these difficult conditions. This article reviews some of these aspects, in the light of our personal experience.
引用
收藏
页码:160 / 169
页数:10
相关论文
共 113 条
[71]   PULMONARY INFECTIOUS COMPLICATIONS OF HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION .1. [J].
MURRAY, JF ;
MILLS, J .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1990, 141 (05) :1356-1372
[72]   ELECTRON-MICROSCOPIC STUDIES OF TRACHEAL MUCOSA AFTER HIGH-FREQUENCY JET VENTILATION [J].
NORDIN, U ;
KLAIN, M ;
KESZLER, H .
CRITICAL CARE MEDICINE, 1982, 10 (03) :211-211
[73]   BLOOD-FLOW IN RABBIT TRACHEAL MUCOSA UNDER NORMAL CONDITIONS AND UNDER INFLUENCE OF TRACHEAL INTUBATION [J].
NORDIN, U ;
LINDHOLM, CE ;
WOLGAST, M .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1977, 21 (02) :81-94
[74]   BRONCHOSCOPY IN THE CRITICAL-CARE UNIT [J].
OLOPADE, CO ;
PRAKASH, UBS .
MAYO CLINIC PROCEEDINGS, 1989, 64 (10) :1255-1263
[75]   TRACHEOBRONCHIAL HISTOPATHOLOGY ASSOCIATED WITH HIGH-FREQUENCY JET VENTILATION [J].
OPHOVEN, JP ;
MAMMEL, MC ;
GORDON, MJ ;
BOROS, SJ .
CRITICAL CARE MEDICINE, 1984, 12 (09) :829-832
[76]   TRANS-BRONCHIAL BIOPSY DURING MECHANICAL VENTILATION [J].
PAPIN, TA ;
GRUM, CM ;
WEG, JG .
CHEST, 1986, 89 (02) :168-170
[77]   PROSPECTIVE COOPERATIVE STUDY OF COMPLICATIONS FOLLOWING FLEXIBLE FIBEROPTIC BRONCHOSCOPY [J].
PEREIRA, W ;
KOVNAT, DM ;
SNIDER, GL .
CHEST, 1978, 73 (06) :813-816
[78]  
PEREIRA W, 1975, AM REV RESPIR DIS, V112, P59
[79]   TOPICAL ANESTHESIA FOR BRONCHOSCOPY [J].
PERRY, LB .
CHEST, 1978, 73 (05) :691-693
[80]   DIAGNOSIS OF NOSOCOMIAL PNEUMONIA IN MECHANICALLY VENTILATED PATIENTS - COMPARISON OF A PLUGGED TELESCOPING CATHETER WITH THE PROTECTED SPECIMEN BRUSH [J].
PHAM, LH ;
BRUNBUISSON, C ;
LEGRAND, P ;
RAUSS, A ;
VERRA, F ;
BROCHARD, L ;
LEMAIRE, F .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 143 (05) :1055-1061