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Critical Care
Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Flexible bronchoscopy-related safety in patients with severe ARDS

Authors: A. Guillon, M.-A. Nay, T. Kamel

Published in: Critical Care | Issue 1/2018

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Excerpt

There is a lack of information regarding the safety of flexible bronchoscopy (FB) in patients with severe acute respiratory distress syndrome (ARDS). We read with great interest the letter by Kalchiem-Dekel and colleagues [1] in which they questioned the feasibility of FB in ARDS patients ventilated in the prone position. Based on retrospective ventilator-related parameters and monitoring data in seven patients, they concluded that FB is feasible in ARDS patients ventilated in the prone position, suggesting that it is safe. We would like to thank the authors for underlining this important question, but we believe that essential physiological aspects are missing in this discussion. …
Literature
1.
Kalchiem-Dekel O, Shanholtz CB, Jeudy J, Sachdeva A, Pickering EM. Feasibility, safety, and utility of bronchoscopy in patients with ARDS while in the prone position. Crit Care. 2018;22:54.CrossRefPubMedPubMedCentral
2.
Lapinsky SE, Mehta S. Bench-to-bedside review: recruitment and recruiting maneuvers. Crit Care. 2005;9:60–5.CrossRefPubMed
3.
Nay M-A, Mankikian J, Garot D, Guillon A. Investigation of a cause-effect relationship between flexible bronchoscopy and pneumothorax in patients with severe acute respiratory distress syndrome. Eur J Anaesthesiol. 2015;32:896–8.PubMed
4.
Nay M-A, Auvet A, Mankikian J, Herve V, Dequin P-F, Guillon A. Evaluation of a flexible bronchoscope prototype designed for bronchoscopy during mechanical ventilation: a proof-of-concept study. Anaesthesia. 2017;72:719–28.CrossRefPubMed
5.
Nay M-A, Mankikian J, Auvet A, Dequin P-F, Guillon A. The effect of fibreoptic bronchoscopy in acute respiratory distress syndrome: experimental evidence from a lung model. Anaesthesia. 2016;71:185–91.CrossRefPubMed
6.
Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526–33.PubMed
7.
Strickland SL, Rubin BK, Haas CF, Volsko TA, Drescher GS, O’Malley CA. AARC clinical practice guideline: effectiveness of pharmacologic airway clearance therapies in hospitalized patients. Respir Care. 2015;60(7):1071–7.CrossRefPubMed
Metadata
Title
Flexible bronchoscopy-related safety in patients with severe ARDS
Authors
A. Guillon
M.-A. Nay
T. Kamel
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2069-y

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