Commentary on Effect of Bronchoalveolar Lavage with Fiberoptic Bronchoscopy Combined with Vibration Sputum Drainage on Mechanically Ventilated Patients with Severe Pneumonia: A Prospective Randomized Controlled Trial in 286 patients
Journal Title: Journal of Intensive and Critical Care - Year 2017, Vol 3, Issue 2
Abstract
As a new and significant technique for severe pneumonia patients, Fiberoptic bronchoscopy (FB) with bronchoalveolar lavage works by removing tracheal secretions under direct vision, to improve pulmonary function and effect of breathing [1-3]. Based on the principle of physical directional percussion vibration sputum discharge provides vertical and horizontal forces simultaneously to lose the mucus and secretions on the mucous membrane of the trachea and help the discharge of tracheal secretions [4- 8]. The results showed that FB with bronchoalveolar lavage or vibration sputum discharge can reduce the pulmonary infection in severe pneumonia cases, but few studies have been done on the effect of the combination of both therapies in patients with severe pneumonia [9]. With a prospective randomized controlled clinical research method, 286 severe pneumonia cases with mechanical ventilation were selected from ICU of Hunan Provincial People’s Hospital, China from January 2014 to July 2016, which were divided into control group and observation group in accordance with the random number table, 143 cases in each group, all the cases were applied the treatment that include sensitive antibiotics for infection and treatments for primary diseases and humidification, and then the patients in control group were given FB with bronchoalveolar lavage, and the cases in observation group were given vibration sputum discharge and FB with bronchoalveolar lavage. A comparison was made of the indexes in respiratory function, inflammation and curative effect and prognosis before and after the treatments between the two groups [10].
Authors and Affiliations
Zeya Shi, Yuelan Qin, Yanhui Liu
Keywords
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- EP ID EP300719
- DOI 10.21767/2471-8505.100084
- Views 69
- Downloads 0
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