Treatment for collapsed lung in critically ill patients. Selective intrabronchial air insufflation using the fiberoptic bronchoscope.

Abstract:

:A new, simpler method to re-expand collapsed lungs was introduced in 14 procedures in 12 critically ill patients. To close the bronchus, we wedge the fiberoptic bronchoscope into each segment or subsegment of the collapsed lung instead of using a balloon cuff. Room air was then insufflated into the atelectatic alveoli after repetitive sputum suctioning and bronchial washing with normal saline solution. Complete re-expansion was achieved in 12 of the 14 procedures and partial in two. The average alveolar-arterial oxygen pressure difference (P[A-a]O2) declined from 217.5 before the procedure to 200.3, 150.0 and 152.2, respectively at 30 minutes, 12 hours and 24 hours after. There were no complications.

journal_name

Chest

journal_title

Chest

authors

Tsao TC,Tsai YH,Lan RS,Shieh WB,Lee CH

doi

10.1378/chest.97.2.435

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

435-8

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)40686-5

journal_volume

97

pub_type

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