title: BAL for pneumonia prevention in tracheostomy patients: A clinical trial study.
abstract: OBJECTIVE
  To evaluate the role of flexible bronchoscopy (FB) and bronchoalveolar lavage (BAL) on pneumonia prevention of tracheostomy patients in intensive care unit.
  
  
  METHODS
  This clinical trial was conducted on 67 head-injury patients who needed tracheostomy. The eligible patients were divided into two groups of different methods for removing the airway secretions. In intervention group, FB and BAL was added to routine conventional methods for airway clearance. Patients were followed for signs and symptoms of pneumonia. Results : The risk of nosocomial pneumonia decreased from 35% to 14% in intervention group. The days of hospital stay were significantly reduced with bronchoscopic method.
  
  
  CONCLUSIONS
  Flexible Bronchoscopy is recommended to all ICU admitted patients that have tracheostomy tube and high volume of secretion in their airways. It can not only prevent the pneumonia formation decrease the morbidity and mortality rate but it can even shorten the ICU stay time and consequently reduce the costs of treatment.
authors.affiliation: Amir K Vejdan, Assistant Professor of General Surgery, University of Medicine, Master of Burn and General Surgery Wards, Imam Reza Hospital, Birjand, Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: K Vejdan
authors.affiliation: Maliheh Khosravi, Resident of Anesthesiology, Department of Anesthesiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Maliheh
authors.initials: M
authors.lastname: Khosravi
keywords: Bronchoalveolar Lavage; Flexible Bronchoscopy; Pneumonia; Tracheostomy