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Bronchoskopie unter Spontanatmung im perioperativen Management pulmonaler Komplikationen

Item Type:Article
Title:Bronchoskopie unter Spontanatmung im perioperativen Management pulmonaler Komplikationen
Creators Name:Moesta, K.T. and Ulmer, C. and Kumpf, O. and Rau, B. and Schlag, P.M.
Abstract:Prevention of respiratory complications is an essential part of perioperative management after surgical procedures. When conservative methods remain without success, repetitive bronchoscopy can be performed to achieve sufficient drainage of abundant bronchial secretions. In order to assess effectiveness and safety of this procedure, we analysed retrospectively 111 bronchoscopies under spontaneous ventilation in39 patients. Ninety eight bronchoscopies in 31 patients with postoperative retention of respiratory tract secretion were performed with the therapeutic intention of secretion removal. In 26 patients reintubation for respiratory failure could be avoided. We consider bronchoscopy under spontaneous breathing a safe and efficient procedure to avoid reintubation due to bronchial secretion retention. This technique is easy to learn and should be widely used in the setting of the ICU.
Keywords:Bronchoscopy, Pulmonary Secretion Retention, Perioperative Complications
Page Range:237-742
Official Publication:https://doi.org/10.1055/s-2002-32394

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