Continuous Positive Airway Pressure during Bronchoalveolar Lavage in Patients with Severe Hypoxemia. |
Chang Hyeok An, Sung Yong Lim, Gee Young Suh, Gye Young Park, Jung Woong Park, Seong Hwan Jeong, Si Young Lim, Misook Oui, Won Jung Koh, Man Pyo Chung, Hojoong Kim, O Jung Kwon |
1Division of Pulmonary Medicine, Department of Internal Medicine, Gachon Medical School Ghil Medical Center, Incheon, Korea. 2Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gysuh@smc.samsung.co.kr 3Division of Pulmonary Medicine, Department of Internal Medicine, Samsung Kangbuk Hospital, Seoul, Korea. |
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Abstract |
BACKGROUND A bronchoalveolar lavage(BAL) is useful in diagnosing the etiology of bilateral pulmonary infiltrations, but may worsen the oxygenation and clinical status in severely hypoxemic patients. This study assessed the safety and efficacy of the continuous positive airway pressure(CPAP) using a conventional mechanical ventilator via a face mask as a tool for maintaining the oxygenation level during BAL. METHODS: Seven consecutive patients with the bilateral pulmonary infiltrates and severe hypoxemia (PaO2/FIO2 ratio
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Key Words:
Hypoxemia, Bronchoalveolar lavage, Continuous positive pressure ventilation |
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