Utility of immediate postlobectomy fiberoptic bronchoscopy in preventing atelectasis.
In a prospective randomized trial, we examined the value of routine postlobectomy fiberoptic bronchoscopy (FOB) in preventing postoperative atelectasis. Twenty patients who underwent lobectomy were randomly assigned to either chest physical therapy alone (group 1) or immediate bronchoscopy (group 2). Both group 1 and group 2 were placed on a standard physical therapy regimen consisting of aerosol bronchodilator therapy, chest percussion, and incentive spirometry. It was concluded that routine postlobectomy bronchoscopy offers no advantage over the usual physical therapy measures in preventing the development of postoperative atelectasis.
Jaworski
A
A
Pulmonary Section, Albert Einstein Medical Center, Philadelphia 19141.
Goldberg
S K
SK
Walkenstein
M D
MD
Wilson
B
B
Lippmann
M L
ML
D000280:Administration, Inhalation; D020680:Bronchoscopes; D002986:Clinical Trials as Topic; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D009921:Metaproterenol / Q000627:therapeutic use; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000517:prevention & control*; D011184:Postoperative Period; D011446:Prospective Studies; D001261:Pulmonary Atelectasis / Q000517:prevention & control*; D011897:Random Allocation; D012138:Respiratory Therapy
D009921:Metaproterenol