Journal of the Formosan Medical Association
Volume 108, Issue 9 , Pages 704-712 , September 2009

Alterations in Respiratory Mechanics in Mechanically Ventilated Patients Following Bronchoalveolar Lavage

  • Meng-Yi Chou

      Affiliations

    • Department of Internal Medicine, Chia-Li Hospital, Tainan, Taiwan
    • ,
  • Chih-Ying Ou

      Affiliations

    • Section of Chest Medicine, Tainan, Taiwan
    • ,
  • Chang-Wen Chen

      Affiliations

    • Medical Intensive Care Unit, Department of Internal Medicine, National Cheng-Kung University Medical Center, Tainan, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Chang-Wen Chen, Medical Intensive Care Unit, Department of Internal Medicine, National Chang-Kung University Medical Center, 138 Sheng-Li Road, Tainan 704, Taiwan

Received 24 July 2008 ,Revised 6 January 2009 ,Accepted 26 March 2009.

References 

  1. Valles J , Rello J , Fernandez R , et al.   Role of bronchoalveolar lavage in mechanically ventilated patients with suspected pneumonia . Eur J Clin Microbiol Infect Dis . 1994;13:549–558
  2. Hertz MI , Woodward ME , Gross CR , et al.   Safety of bronchoalveolar lavage in the critically ill, mechanically ventilated patient . Crit Care Med . 1991;19:1526–1532
  3. Spamnevello A , Migliori GB , Satta A , et al.   Broncho-alveolar lavage causes decrease in PaO2, increase in (A-a) gradient value and bronchoconstriction in asthmatics . Respir Med . 1998;92:191–197
  4. Klein U , Karzai W , Zimmermann P , et al.   Changes in pulmonary mechanics after fiberoptic bronchoalveolar lavage in mechanically ventilated patients . Intensive Care Med . 1998;24:1289–1293
  5. Klech H , Pohl W . Technical recommendations and guidelines for bronchoalveolar lavage (BAL) . Eur Respir J . 1989;2:561–585
  6. Bates JHT , Hunter IW , Sly PD , et al.   Effect of valve closure time on the determination of respiratory resistance by flow interruption . Med Biol Eng Comput . 1987;25:136–140
  7. Lit LM , Doelken P , Mayo PH . Correction of error in respiratory resistance measurements made with the flow-interruption technique during mechanical ventilation: evaluation of the Puritan Bennett 7200 and 840 ventilators . Respir Care . 2004;49:1022–1028
  8. Kochi T , Okubo S , Zin WA , et al.   Flow and volume dependence of pulmonary mechanics in anesthetized cats . J Appl Physiol . 1988;64:441–450
  9. Rossi A , Polese G , Brandi G , et al.   Intrinsic positive endexpiratory pressure (PEEPi) . Intensive Care Med . 1995;21:522–536
  10. Nucci G , Mergoni M , Bricchi C , et al.   On-line monitoring of intrinsic PEEP in ventilator-dependent patients . J Appl Physiol . 2000;89:985–995
  11. Lawson RW , Peters JI , Shelledy DC . Effects of fiberoptic bronchoscopy during mechanical ventilation in a lung model . Chest . 2000;118:824–831
  12. Lindgren S , Odenstedt H , Olegard C , et al.   Regional lung recruitment after endotracheal suction during volume-or pressure-controlled ventilation: a study using electric impedance tomography . Intensive Care Med . 2007;33:172–180
  13. Montravers P , Gauzit R , Dombret MC , et al.   Cardio-pulmonary effects of bronchoalveolar lavage in critically ill patients . Chest . 1993;104:1541–1547
  14. Hough CL , Kallet RH , Ranieri M , et al.   Intrinsic positive end-expiratory pressure in acute respiratory distress syndrome (ARDS) Network subjects . Crit Care Med . 2005;33:527–532
  15. Brochard L . Intrinsic (or auto-) PEEP during controlled mechanical ventilation . Intensive Care Med . 2002;28:1376–1378
  16. Gaio E , Melo C . A pattern to evaluate airway resistive phenomenon using Rohrer's equation . Advan Physiol Edu . 2007;31:121
  17. Polese G , Rossi A , Appendini L , et al.   Partitioning of respiratory mechanics in mechanically ventilated patients . J Appl Physiol . 1991;71:2425–2433
  18. Bauer TT , Arosio C , Monton C , et al.   Systemic inflammatory response after bronchoalveolar lavage in critically ill patients . Eur Respir J . 2001;17:274–280

PII: S0929-6646(09)60393-4

doi: 10.1016/S0929-6646(09)60393-4

Journal of the Formosan Medical Association
Volume 108, Issue 9 , Pages 704-712 , September 2009

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