Bronchoscopic insufflation of room air for the treatment of lobar atelectasis in mechanically ventilated patients

P. V. Van Heerden, W. Jacob, P. D. Cameron, S. Webb

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Abstract

Segmental and lobar pulmonary atelectasis is a common occurrence in mechanically ventilated patients. Standard therapy for atelectasis relies on positive pressure ventilation, positive end expiratory pressure (PEEP), tracheobronchial toilet and regular chest physiotherapy. Various adjuncts to physiotherapy such as bronchoscopic clearance of secretions have not proved to be of additional benefit. Bronchoscopic clearance of secretions followed by insufflation of room air at 30 cm H2O into the atelectatic segment was employed on ten occasions in mechanically ventilated patients. Rapid re-expansion of the collapsed segment or lobe occurred in seven out of the ten treatments.

Original languageEnglish
Pages (from-to)175-177
Number of pages3
JournalAnaesthesia and Intensive Care
Volume23
Issue number2
DOIs
Publication statusPublished - 1 Apr 1995
Externally publishedYes

Keywords

  • Air
  • Atelectasis
  • Bronchoscopic insufflation
  • Intensive care

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