Can fiberoptic bronchoscopy be applied to critically ill patients treated with noninvasive ventilation for acute respiratory distress syndrome? Prospective observational study.


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EKREN P. , AYDOGAN B. B. , GÜRGÜN A. , TAŞBAKAN M. S. , BACAKOĞLU F. , NAVA S.

BMC pulmonary medicine, vol.16, pp.89, 2016 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16
  • Publication Date: 2016
  • Doi Number: 10.1186/s12890-016-0236-y
  • Title of Journal : BMC pulmonary medicine
  • Page Numbers: pp.89
  • Keywords: Bronchoscopy, Noninvasive ventilation, Acute respiratory distress syndrome, Diagnosis, Safety, COMMUNITY-ACQUIRED-PNEUMONIA, HYPOXEMIC PATIENTS, DIAGNOSTIC BRONCHOSCOPY, BRONCHOALVEOLAR LAVAGE, PULMONARY-DISEASE, FAILURE, PRESSURE, SAFETY, AIRWAY, RISK

Abstract

Background: Noninvasive ventilation (NIV) is a cornerstone for the treatment of acute respiratory failure of various etiologies. Using NIV is discussed in mild-to-moderate acute respiratory distress syndrome (ARDS) patients (PaO2/FiO(2) > 150). These patients often have comorbidities that increase the risk for bronchoscopy related complications. The primary outcome of this prospective observational study was to evaluate the feasibility, safety and contribution in diagnosis and/or modification of the ongoing treatment of fiberoptic bronchoscopy (FOB) in patients with ARDS treated with NIV.