Document Detail


Clinical evaluation of bronchopulmonary lavage using the flexible fiberoptic bronchoscope.
MedLine Citation:
PMID:  7436612     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-three patients had segmental and lobar bronchopulmonary lavage using three types of flexible fiberoptic bronchoscopes. A maximum volume of 300 ml of normal saline solution at room temperature was used. Lavage was effective for removing large numbers of alveolar macrophages (mean, 17 million) and proteinaceous material (mean, 0.18 mg per milliliter) that helped enhance the antibacterial properties of the macrophages. Transient shunting (mean fall in partial pressure of arterial oxygen, 65 mm Hg) and alveolar filling that reverted to normal in 3 hours were noted. The procedure averaged 45 minutes and was as simple as bronchoscopy. The larger the internal diameter of the bronchoscope (> 2.6 mm) the better suited it was for lavage. Sequential segmental lavage seems to offer the advantages of simplicity and technical ease over isolated lobar lavage with a balloon-tipped bronchoscope. It also has the advantage of simplicity over whole-lung lavage.
Authors:
J Garvey; J Guarneri; F Khan; J Goldstein
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  30     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1980 Nov 
Date Detail:
Created Date:  1981-01-26     Completed Date:  1981-01-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  427-32     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bronchi / pathology
Bronchoscopes
Esophageal Neoplasms / pathology
Evaluation Studies as Topic
Fiber Optic Technology / instrumentation
Humans
Irrigation / instrumentation,  methods*
Lung Neoplasms / pathology
Macrophages / pathology*
Mediastinal Neoplasms / pathology
Middle Aged
Pulmonary Alveoli / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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