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. 1992;18(3):160–169. doi: 10.1007/BF01709240

Bronchoscopy in the intensive care unit

Ph Jolliet 1, J C Chevrolet 1
PMCID: PMC7095432  PMID: 1644964

Abstract

The development of the flexible, fiberoptic bronchoscope has made bronchoscopic examinations possible in ICU patients undergoing mechanical ventilation. Over the years, the number of such procedures has greatly increased, with both diagnostic and therapeutic objectives, such as performing difficult intubation, management of atelectasis and hemoptysis, diagnosis of nosocomial pneumonia in ventilated patients, and early detection of airway lesions in selected situations, such as high-frequency ventilation. The complication rate can be kept low if the endoscopist has a precise knowledge of the many pathophysiological and technical facets particular to bronchoscopy under these difficult conditions. This article reviews some of these aspects, in the light of our personal experience.

Key words: Bronchoscopy, Mechanical ventilation, Hemoptysis, Atelectasis, Bronchoalveolar lavage, High-frequency jet ventilation

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