The influence of transbronchial lung biopsy and bronchoalveolar lavage on arterial blood gas changes occurring in patients with diffuse interstitial lung disease
| Autor: | M.S. Hendy, D.E. Stableforth, J.R.M. Bateman |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Pulmonary and Respiratory Medicine
Bronchus Pathology medicine.medical_specialty Lung medicine.diagnostic_test business.industry Respiratory disease Interstitial lung disease respiratory system medicine.disease respiratory tract diseases Endoscopy medicine.anatomical_structure Bronchoalveolar lavage Anesthesia Biopsy medicine Arterial blood business |
| Zdroj: | British Journal of Diseases of the Chest. 78:363-368 |
| ISSN: | 0007-0971 |
| Popis: | Serial arterial blood gases were measured during fibreoptic bronchoscopy in 26 patients with diffuse interstitial lung disease. All those having transbronchial biopsy with or without bronchoalveolar lavage, performed breathing room air, showed significant falls in P a o 2 , at the time of passage of the bronchoscope through the vocal cords both at the beginning and end of the procedure. Patients having bronchoalveolar lavage and transbronchial biopsy performed with supplementary oxygen at least maintained their basal P a o 2 levels. Cessation of the supplementary oxygen 30 minutes after withdrawal of the bronchoscope did not result in rebound hypoxaemia. Bronchoalveolar lavage and transbronchial biopsy can be performed safely in patients with diffuse interstitial lung disease without significant hypoxaemia developing, if oxygen is started before the procedure and continued for 30 minutes after withdrawal of the bronchoscope. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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