Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa

Background: 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,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Andresen,Max, Mercado,Marcelo, Zapata,Marcelo, Bustamante,Andrea, Regueira,Tomás
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Bronchoalveolar lavage Pneumonia Respiratory distress syndrome, adult
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000007
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872011001000007
record_format	dspace
spelling	oai:scielo:S0034-988720110010000072012-01-03Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severaAndresen,MaxMercado,MarceloZapata,MarceloBustamante,AndreaRegueira,Tomás Bronchoalveolar lavage Pneumonia Respiratory distress syndrome, adult Background: 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, PaO2/FiO2 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.10 20112011-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000007es10.4067/S0034-98872011001000007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bronchoalveolar lavage Pneumonia Respiratory distress syndrome, adult
spellingShingle	Bronchoalveolar lavage Pneumonia Respiratory distress syndrome, adult Andresen,Max Mercado,Marcelo Zapata,Marcelo Bustamante,Andrea Regueira,Tomás Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
description	Background: 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, PaO2/FiO2 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.
author	Andresen,Max Mercado,Marcelo Zapata,Marcelo Bustamante,Andrea Regueira,Tomás
author_facet	Andresen,Max Mercado,Marcelo Zapata,Marcelo Bustamante,Andrea Regueira,Tomás
author_sort	Andresen,Max
title	Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
title_short	Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
title_full	Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
title_fullStr	Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
title_full_unstemmed	Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
title_sort	resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000007
work_keys_str_mv	AT andresenmax resultadospreliminaresyfactibilidaddelminilavadobroncoalveolarenpacientescursandofallarespiratoriasevera AT mercadomarcelo resultadospreliminaresyfactibilidaddelminilavadobroncoalveolarenpacientescursandofallarespiratoriasevera AT zapatamarcelo resultadospreliminaresyfactibilidaddelminilavadobroncoalveolarenpacientescursandofallarespiratoriasevera AT bustamanteandrea resultadospreliminaresyfactibilidaddelminilavadobroncoalveolarenpacientescursandofallarespiratoriasevera AT regueiratomas resultadospreliminaresyfactibilidaddelminilavadobroncoalveolarenpacientescursandofallarespiratoriasevera
_version_	1718436591580479488

Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa

Ejemplares similares