Mini bronchoalveolar lavage in patients with severe respiratory failure

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dc.contributor.authorAndresen, Max
dc.contributor.authorMercado, Marcelo
dc.contributor.authorZapata, Marcelo
dc.contributor.authorBustamante, Andrea
dc.contributor.authorRegueira, Tomas
dc.date.accessioned2024-01-10T13:50:36Z
dc.date.available2024-01-10T13:50:36Z
dc.date.issued2011
dc.description.abstractBackground: To recognize the etiological agent responsible for severe acute respiratory failure (ARF) in patients in mechanical ventilation (MV) is important to determine their treatment and prognosis, and to avoid the excessive use of antibiotics. Mini bronchoalveolar lavage (mini BAL) is a blind, non bronschoscopic procedure, used to obtain samples from the lower respiratory tract from patients on mechanical ventilation (MV). Aim: To assess the feasibility, complications and preliminary results of mini BAL among patients with severe ARF on MV Material and Methods: Prospective study in 17 patients with acute lung injury (ALI) or acute respiratory distess syndrome (ARDS) on MV and with negative conventional microbiological studies. Mini BAL was performed using standardized protocols. Hemodynamic and respiratory parameters where measured before and after the procedure. Samples obtained were sent to quantitative cultures. Results: At baseline: APACHE II score of 22 +/- 6,7, P(a)O(2)/F(i)O(2) ratio was 176.6 +/- 48.6 and the oxygenation index was 9.74 +/- 3.78. All procedures were performed by an ICU resident. Thirty five percent of the procedures had positive cultures and no complications related to the procedures were reported. The procedure lasted an average of 12 minutes and the instilled and rescued volume were 60 ml and 19.6 ml, respectively There were no significant differences between hemodynamic and respiratory variables before and after the procedure. Conclusions: Mini BAL is a safe, fast and easy technique for obtaining samples from the inferior airway in patients with ALI or ARDS on MV (Rev Med Chile 2011; 139: 1292-1297).
dc.fechaingreso.objetodigital2024-06-13
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872011001000007
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:22286728
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79542
dc.identifier.wosidWOS:000297144100007
dc.information.autorucMedicina;Andresen M ;S/I;54274
dc.information.autorucMedicina;Bustamante A ;S/I;5311
dc.information.autorucMedicina;Mercado M;S/I;18889
dc.information.autorucMedicina;Regueira T ;S/I;18434
dc.information.autorucMedicina;Zapata M ;S/I;199953
dc.issue.numero10
dc.language.isoes
dc.nota.accesocontenido parcial
dc.pagina.final1297
dc.pagina.inicio1292
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso restringido
dc.subjectBronchoalveolar lavage
dc.subjectPneumonia
dc.subjectRespiratory distress syndrome, adult
dc.subjectVENTILATOR-ASSOCIATED PNEUMONIA
dc.subjectCRITICALLY-ILL PATIENTS
dc.subjectNOSOCOMIAL PNEUMONIA
dc.subjectDIAGNOSIS
dc.subjectMANAGEMENT
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMini bronchoalveolar lavage in patients with severe respiratory failure
dc.typeartículo
dc.volumen139
sipa.codpersvinculados54274
sipa.codpersvinculados5311
sipa.codpersvinculados18889
sipa.codpersvinculados18434
sipa.codpersvinculados199953
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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