Journal Information
Vol. 3. Issue 3.
Pages 289-299 (May - June 1997)
Share
Share
Download PDF
More article options
Vol. 3. Issue 3.
Pages 289-299 (May - June 1997)
ARTIGO DE REVISÃO
Open Access
Indicações da Broncofibroscopia em Unidade de Cuidados Intensivos
Visits
4174
Ema Sacadura Leite*
* Interna do Internato Complementar de Pneumologia do Serviço de Pneumologia do Hospital de Santa Maria, Lisboa.
This item has received

Under a Creative Commons license
Article information
RESUMO

A deterioração respiratória é um problema comum em U.C.I., para a qual a broncofibroscopia constitui um método auxiliar diagnóstico e terapêutico importante. Trata-se contudo de um método invasivo, pelo que é importante avaliar as vantagens da sua utilização. Este trabalho de revisão pretende estudar algumas das situações correntes em U.C. I. onde a broncofibroscopia poderá ser útil.

Palavras-chave:
Unidade de Cuidados Intensivos
Broncofibroscopia
SUMMARY

Respiratory failure is a common problem in I.C.U., for which fiberoptic bronchoscopy is an important auxiliar diagnostic and therapeutic method. This is however an agressive method, so it is important to assess the advantage of its use. The purpose of this work is to study various current problems in I.C.U. where fiberoptic bronchoscopy may be useful.

Key-words:
Intensive Care Unit
Fiberoptic bronchoscopy
Full text is only aviable in PDF
BIBLIOGRAFIA
[1.]
A.T. Araújo.
Meios endoscópicos em Pneumologia.
XIV Curso de Pneumologia para pós-graduados, Serviço de Doença Pulmonares. Faculdade de Medicina de Lisboa, (1981), pp. 129-137
[2.]
R. Bellomo.
Fiberoptic bronchoscopy in the critically ill a prospective study of its diagnostic and therapeutic value.
Anaesth. Intensive Care, 20 (1992), pp. 464-469
[3.]
F.R. Castro.
Flexible bronchoscopy in mechanically ventilated patients.
Journal of Bronchology, 3 (1996), pp. 64-68
[4.]
J. Chastre, et al.
Prospective evaluation of the protected specimen brush for the diagnosis of pulmonary infections in ventilated patients.
1984, 130 (1984), pp. 924-928
[5.]
S.W. Crawford, et al.
Rapid detection of cytomegalovirus pulmonary infection by bronchoalveolar lavage and centrifugation culture.
Ann. Intern. Med, 108 (1988), pp. 180-185
[6.]
S.J. Danek.
Diagnosis of pulmonary tuberculosis by flexible fiberoptic bronchoscopy.
Am. Rev. Respir Dis, 119 (1979), pp. 677-679
[7.]
E.T. Edens, et al.
Flexible fiberoptic bronchos-copy in difficult intubations.
Ann. Otol., 90 (1981), pp. 307-309
[8.]
E.C. Fletcher, et al.
Bronchoscopic diagnosis of pulmonary infections. West.
J. Med, 138 (1983), pp. 364-370
[9.]
K.A. Guest.
Broncoscopia nos doentes em estado critico.
Principios de Cuidados Intensivos, pp. 72-75
[10.]
Haenel J.B..
Efficacy of selective intrabronchial air insufflation in acute lobar collapse.
Am. J Surg, 164 (1992), pp. 501-505
[11.]
J.P. Jaffe.
Lung biopsy in immunocompromised patients one institution's experience and an approach to management of pulmonary disease in the compromised host.
Cancer, 48 (1981), pp. 1144-1153
[12.]
P. Jolliet, et al.
Bronchoscopy in the intensive care unit.
Intensive Care Med., 18 (1992), pp. 160-169
[13.]
F.W. Kahn, et al.
Diagnosis bacterial respiratory infection by bronchoalveolar lavage.
J. Infect. Dis., 155 (1987), pp. 862-869
[14.]
M.H. Kollef, et al.
The safety and diagnostic accuracy of minibronchoalveolar lavage in patients with suspected ventilator - associated pneumonia.
Annals of Internal Medicine., 122 (1995), pp. 743-748
[15.]
C.E. Lindholm, et al.
Cardiorespiratory effects of flexible fiberoptic bronchoscopy in critically ill patients.
Chest, 74 (1978), pp. 362-368
[16.]
C.E. Lindholm, et al.
Tracheal tube and cuff problems.
Int. Anerthesiol. Clin, 20 (1982), pp. 556-561
[17.]
T. Marrie, et al.
Pneumonia associated with the twar strain of Chlamydia.
Annals of Internal Medicine, 106 (1987), pp. 507-511
[18.]
G.U. Meduri, et al.
The standardization of bronchoscopie techniques for ventilator- associated pneumonia.
Chest, 102 (1992), pp. 5575-5645
[19.]
Norma Portuguesa.
NP 405-1: 1994: informação e documentação referências bibliográficas: documentos impressos Monte da Caparica.
Instituto Portugues da Qualida-de, (1995),
[20.]
F.P. Ognbene, et al.
Bronchoscopy.
pp. 11-14
[21.]
D.S. Overstreet, et al.
Bronchoscopy for pulmonary hygiene in the intensive care unit.
J. Ky. Med. Assoc., 90 (1992), pp. 449-453
[22.]
T.A. Papin, et al.
Transbronquial biopsy during mechnical ventilation.
Chest, 89 (1986), pp. 168-170
[23.]
W.J. Pereira.
A prospective cooperative study of complications following flexible fiberoptic bronchoscopy.
Chest, 73 (1978), pp. 813-816
[24.]
U.B.S. Prakash.
Bronchoscopy.
pp. 1-18
[25.]
S.N. Raj.
Indications, contraindications and medications.
Flexible Bronchoscopy, pp. 34-59
[26.]
R.D. Rieves, et al.
Fiberoptic bronchoscopy in the I C.U.
Highlights from Complications in Surgery, 10 (1993), pp. 18-22
[27.]
D. SHURE.
Fiberoptic bronchoscopy: diagnostic applications.
Clinics in Chest Medicine, (March 1987), pp. 1-14
[28.]
K.P. Steinberg, et al.
Safety of bronchoalveolar lavage in patients with adult respiratory distress syndrome.
Am. Rev. Resp. Dis., 148 (1993), pp. 556-561
[29.]
D.E. Stover, et al.
Bronchoalveolar lavage in the diagnosis of diffuse pulmonary infiltrates in the immunosupressed host.
Annals of Internal Medicine., 101 (1984), pp. 1-7
[30.]
J.M. Streitz, et al.
Airway injury after tracheotomy and endotracheal intubation.
Surg Clin. North. Am, 71 (1991), pp. 1211-1231
[31.]
J.L. Trouillet, et al.
Fiberoptic bronchoscopy in ventilated patients: evaluation of cardiopulmonary risk under midezolau sedation.
Chest, 97 (1990), pp. 927-933
[32.]
J.S. Turner, et al.
Fiberoptic bronchoscopy in the intensive care unit·a prospective study of 147 procedures in 107 patients.
Crit. Care Med, 22 (1994), pp. 259-264
[33.]
J.M. Wallace, et al.
Flexible fiberoptic bronchoscopy for diagnosing pulmonary coccidioidomycosis.
Am Rev. Resp Dis, 123 (1981), pp. 286-290
[34.]
J.A. Wedzicha, et al.
Management of massive hemoptysis, 84 (1990), pp. 9-12
[35.]
N. Wimberley, et al.
A fiberoptic bronchoscopic technique to obtain uncontaminated airway secretions for bacterial culture.
Am. Rev. Resp. Dis., 119 (1979), pp. 337-343
[36.]
N. Wimberley, et al.
Use of a bronchoscopy protected catheter brush for the diagnosis of pulmonary infections.
Chest, 81 (1982), pp. 556-562
[37.]
D.C. Zavala.
Diagnostic fiberoptic bronchoscopy techniques and results of biopsy in 600 patients.
Chest, 68 (1975), pp. 12-19
Copyright © 1997. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?