General vs Local Anesthesia
| Autor: | A. Pezza, Richard A. Bobbins, John R. Spurzem, Israel Rubinstein, Joseph H. Sisson, Stephen I. Rennard, Susanna G. Von Essen, Jim Boomsma, Debra J. Romberger, David M. Daughton, Austin B. Thompson, Anthony A. Floreani, Francesco De Blasio |
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| Rok vydání: | 1993 |
| Předmět: |
Pulmonary and Respiratory Medicine
Mechanical ventilation medicine.diagnostic_test business.industry medicine.medical_treatment respiratory system Critical Care and Intensive Care Medicine respiratory tract diseases Bronchoalveolar lavage Respiratory failure Anesthesia medicine Lavage fluid Intubation Fluid cell Local anesthesia Cardiology and Cardiovascular Medicine business Airway |
| Zdroj: | Chest. 104:1032-1037 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.104.4.1032 |
| Popis: | Bronchoalveolar lavage (BAL) can he performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. Eighty patients, were selected for study. Fluid recoveries were significantly less in the GA group for both the bronchial and alveolar lavages. The differences were confirmed for BAL fluid recovery in a subsequent group of 120 unselected patients. Bronchoscope size did not appear to affect recovery, nor did anesthesia time; BAL fluid recovery from patients with respiratory failure who were intubated and mechanically ventilated was similar to that in the GA group, suggesting that lower recovery rates may he due to mechanical ventilation. The BAL fluid cell counts were related to fluid recovery, hut airway neutrophils represented a higher percentage of BAL lavage fluid cells in the GA lavages, independent of differences in the volume of lavage fluid recovered. |
| Databáze: | OpenAIRE |
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