Value of Bronchoscopic Pneumonia Diagnosis: Prospective Study

In a prospective clinical study we examined whether bronchoscopically controlled suctioning is preferable to the blind suctioning of mucus aspirates for bacterial identification of intensive care unit patients with pneumonia. Forty patients with clinical and radiologic signs of pneumonia underwent b...

Full description

Saved in:
Bibliographic Details
Published in:World journal of surgery 1996-01, Vol.20 (1), p.22-26
Main Authors: Prokop, A., Gawenda, M., Krüger, I., Pichlmaier, H.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Bronchoscopy
Catheter
Complication Rate
Endoscopy
Female
Humans
Intensive Care Unit
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Partial Oxygen Pressure
Pneumonia
Pneumonia - diagnosis
Prospective Studies
Sensitivity and Specificity
Specimen Handling - methods
Suction
Therapeutic Irrigation
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In a prospective clinical study we examined whether bronchoscopically controlled suctioning is preferable to the blind suctioning of mucus aspirates for bacterial identification of intensive care unit patients with pneumonia. Forty patients with clinical and radiologic signs of pneumonia underwent both bronchoscopically controlled and blind endotracheal lavage. Bronchoscopically controlled suctioning did not demonstrate greater sensitivity for identifying organisms than the results obtained from blind suctioning (58 organism were bronchoscopically identified, compared to 57 organisms identified by blind suctioning; p= 0.32, NS). Arterial and mixed venous partial oxygen pressure and shunt also showed no significant differences 15 minutes before and after examination, nor did the blood pressure or pulse. The use of four of the bronchoscopes resulted in preinterventional contamination withPseudomonas. Bronchoscopically controlled lavage shows no advantages over blind endotracheal lavage for diagnosing pneumonia. Blind suctioning with single‐use sterile catheters can be done more quickly and inexpensively with fewer personnel and a lower complication rate.
ISSN:0364-2313
1432-2323
DOI:10.1007/s002689900004