Document Detail


Nonbronchoscopic bronchoalveolar lavage in mechanically ventilated infants: technique, efficacy, and applications.
MedLine Citation:
PMID:  8469579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bronchoalveolar lavage with the fiberoptic bronchoscope is commonly used for the diagnosis of pulmonary infections in mechanically ventilated adults and children. However, its use for intubated infants is precluded because the small artificial airway does not permit the passage of the bronchoscope. We have developed a technique for nonbronchoscopic bronchoalveolar lavage, performed via a sterile, disposable feeding tube. We have used this technique in 15 infants with diffuse interstitial disease and/or atelectasis, while they were intubated and mechanically ventilated. The volume of the lavage effluent averaged 70.3% of the volume instilled. Specific diagnosis on the basis of the cytologic evaluation and/or culture of the lavage fluid was possible in 9 (60%) patients. Two patients with atelectasis showed radiographic evidence of improvement following the procedure. There were no complications. We conclude that nonbronchoscopic bronchoalveolar lavage is well tolerated, and clinically useful in small, mechanically ventilated infants with respiratory failure due to diffuse pulmonary disease. This technique provides a lower risk alternative to more invasive, and costly procedures.
Authors:
A C Koumbourlis; G Kurland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  15     ISSN:  8755-6863     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-05-11     Completed Date:  1993-05-11     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  257-62     Citation Subset:  IM    
Affiliation:
Department of Pediatrics (Division of Pulmonology), College of Physicians and Surgeons, Columbia University, New York, New York 10032.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Bronchoalveolar Lavage Fluid*
Bronchoscopy
Humans
Infant
Infant, Newborn
Lung Diseases / diagnosis
Pulmonary Atelectasis / therapy
Respiration, Artificial*

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


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