Bronchoscopic insufflation of room air for the treatment of lobar atelectasis in mechanically ventilated patients.
Segmental and lobar pulmonary atelectasis is a common occurrence in mechanically ventilated patients. Standard therapy for atelectasis relies on positive pressure ventilation, positive and expiratory pressure (PEEP), tracheobronchial toilet and regular chest physiotherapy. Various adjuncts to physiotherapy such as bronchoscopic clearance of secretions have not proved to be of additional benefit. Bronchoscopic clearance of secretions followed by insufflation of room air at 30 cm H2O into the atelectatic segment was employed on ten occasions in mechanically ventilated patients. Rapid re-expansion of the collapsed segment or lobe occurred in seven out of the ten treatments.
van Heerden
P V
PV
Dept of Intensive Care, Sir Charles Gairdner Hospital, Nedlands, W.A.
Jacob
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W
Cameron
P D
PD
Webb
S
S
D018806:APACHE; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000388:Air; D001980:Bronchi / Q000378:metabolism; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000379:methods; D004867:Equipment Design; D005260:Female; D006801:Humans; D007327:Insufflation; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010102:Oxygen Inhalation Therapy; D026741:Physical Therapy Modalities; D011175:Positive-Pressure Respiration; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects; D013396:Suction; D014132:Trachea / Q000378:metabolism
D010100:Oxygen