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Suplemento de oxigénio necessário em voluntários saudáveis quando submetidos a broncoscopia com lavado broncoalveolar
Andrew J Ghio, Mary Ann Bassett, Debra Levin, Tracey Montilla
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        "autoresLista" => "Andrew J Ghio, Mary Ann Bassett, Debra Levin, Tracey Montilla"
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            "nombre" => "Andrew J"
            "apellidos" => "Ghio"
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            "nombre" => "Mary"
            "apellidos" => "Ann Bassett"
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            "apellidos" => "Levin"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A hipoxemia pode complicar a broncoscopia&#44; limitando a utilidade e realiza&#231;&#227;o da t&#233;cnica&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">As causas mais frequentes de hipoxemia durante a broncoscopia s&#227;o a doen&#231;a pulmonar subjacente&#44; a obstru&#231;&#227;o das vias a&#233;reas&#44; o pneumot&#243;rax&#44; a hemorragia secund&#225;ria e a bi&#243;psia pulmonar transbr&#244;nquica ou outro procedimento broncosc&#243;pico&#44; a seda&#231;&#227;o exagerada e o broncoespasmo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Os autores decidiram testar o postulado de que a broncoscopia com lavado broncoalveolar precisa de oxig&#233;nio suplementar em volunt&#225;rios saud&#225;veis submetidos ao exame&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos os volunt&#225;rios demonstraram n&#227;o ter sintomas respirat&#243;rios e que o exame objectivo e a avalia&#231;&#227;o da fun&#231;&#227;o pulmonar eram normais&#46; A broncofibroscopia foi realizada sem seda&#231;&#227;o e n&#227;o foram efectuadas bi&#243;psias&#46; Antes da broncoscopia&#44; foi colocada uma sonda nasal na narina oposta &#224; do broncofibrosc&#243;pio&#46; Seis volunt&#225;rios foram submetidos a oxigenioterapia a 2L&#47;min e seis volunt&#225;rios n&#227;o foram sujeitos a oxigenioterapia&#46; Depois de iniciar a t&#233;cnica&#44; assim que a satura&#231;&#227;o fosse igual ou inferior a 90&#37; aumentava-se o suplemento de O<span class="elsevierStyleInf">2</span>&#46; Os autores verificaram que todos os volunt&#225;rios n&#227;o submetidos a oxigenioterapia necessitaram de suplemento de oxig&#233;nio na mesma fase do procedimento t&#233;cnico&#44; em contraste com os volunt&#225;rios que iniciaram a broncoscopia com O<span class="elsevierStyleInf">2</span>&#44; que n&#227;o revelaram nunca hipoxemia&#46; A dessatura&#231;&#227;o de O<span class="elsevierStyleInf">2</span> nos volunt&#225;rios que efectuaram a broncoscopia sem O<span class="elsevierStyleInf">2</span> a hipoxemia come&#231;ou sempre quando se iniciou o lavado broncoalveolar&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Os autores&#44; perante a an&#225;lise deste grupo&#44; conclu&#237;ram que a administra&#231;&#227;o de O<span class="elsevierStyleInf">2</span> suplementar nos doentes submetidos a broncoscopia deve ser uma regra&#44; pois pode minimizar as complica&#231;&#245;es relacionadas&#44; particularmente com a hipoxemia&#46;</p>"
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                      "titulo" => "Use of bronchoscopy in the diagnosis of diagnosis of infection in the immunocompromized host"
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Article information
ISSN: 21735115
Original language: Portuguese
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