Bronchoalveolar lavage causes decrease in PaO2, increase in (A-a) gradient value and bronchoconstriction in asthmatics

Respiratory Medicine

Volumn 92, Issue 2, 1998, Pages 191-197

  Spanevello, A ^a   Migliori, G B ^a   Satta, A ^a   Sharara, A ^b   Ballardini, L ^c   Ind, P W ^b   Neri, M ^a  

^a IRCCS   (Italy)

^b HAMMERSMITH HOSPITAL   (United Kingdom)

^c Fondazione Salvatore Maugeri ^*

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN;

ADULT; AGED; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN SATURATION; ARTERIAL OXYGEN TENSION; ARTICLE; ASTHMA; BLOOD SAMPLING; BRONCHOSCOPY; BRONCHOSPASM; CLINICAL ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; FORCED EXPIRATORY VOLUME; HUMAN; HYPOXEMIA; LOCAL ANESTHESIA; LUNG ALVEOLUS OXYGEN TENSION; LUNG LAVAGE; MALE; PATIENT MONITORING; PRIORITY JOURNAL; RADIAL ARTERY; SPIROMETRY; VITAL CAPACITY;

EID: 0031881995     PISSN: 09546111     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0954-6111(98)90094-4     Document Type: Article

References (23)

1. Reynolds HY. Bronchoalveolar lavage. State of the art. Am Rev Respir Dis 1987; 135: 250-263.
2. Klech H, Hutter C. Clinical guidelines and indications for bronchoalveolar lavage (BAL): Report of the European Society of Pneumology Task Group on BAL. Eur Respir J 1990; 3: 937-974.
3. Godard P, Aubas P, Calvayarac P et al. Endoscopie et lavage bronchiolo-alveolaire chez l'asthmatique allergique. Nouv Presse Med 1981; 10: 3141-3148.
4. De Monchy JGR, Kaufmann HF, Venge P et al. Bronchoalveolar eosinophilia during allergen induced late asthmatic reactions. Am Rev Respir Dis 1985; 131: 373-376.
5. Fick RB, Richerson HB, Zavala DC et al. Bronchoalveolar lavage in allergic asthmatics. Am Rev Respir Dis 1987; 135: 1204-1209.
6. Beasley R, Roche WR, Roberts JA et al. Cellular events in the bronchi in mild asthma and after bronchial provocation. Am Rev Respir Dis 1989; 139: 806-817.
7. Kirby JG, Hargreave E, Gleich G et al. Bronchoalveolar cell profiles of asthmatic and non asthmatic subjects. Am Rev Respir Dis 1987; 136: 379-383.
8. Bousquet J, Chanez P, Lacoste JY et al. Eosinophilic inflammation in asthma. N Engl J Med 1990; 323: 379-383.
9. Kelly C, Hendrick D, Walters H. The effect of bronchoalveolar lavage on bronchial responsiveness in patients with airflow obstruction. Chest 1988; 93: 325-328.
10. Chetta A, Foresi A, Bertorelli G et al. Lung function and bronchial responsiveness after bronchoalveolar lavage and bronchial biopsy performed without premedication in stable asthmatic subjects. Chest 1992; 101: 1563-1568.
11. Djukanovic R, Wilson RW, Lai CKW et al. The safety aspects of fiberoptic bronchoscopy, bronchoalveolar lavage, and endobronchial biopsy in asthma. Am Rev Respir Dis 1991; 143: 772-777.
12. Gianorio P, Bonavia M, Crimi E et al. Bronchial responsiveness is not increased by bronchoalveolar and bronchial lavage performed after allergen challenge. Am Rev Respir Dis 1991; 143: 105-108.
13. Van Vyve T, Chanez P, Bousquet J et al. Safety of bronchoalveolar lavage and biopsies in patients with asthma of variable severity. Am Rev Respir Dis 1992; 146: 116-121.
14. Committee on Diagnostic Standards for Nontuberculous Respiratory Diseases. Chronic bronchitis, asthma, and pulmonary emphysema. Am Rev Respir Dis 1962; 85: 762-768.
15. Quanjer PH, ed. Report of Working Party. European Community for Coal and Steel. Standardized lung function testing: 'Standardization of Lung Function Tests' Bull Eur Physiopathol Respir 1983; 19 (Suppl 5): 7-87.
16. Aas K. Heterogeneity of bronchial asthma: subpopulations or different stages of the disease. Allergy 1981; 36: 3-10.
17. National Heart, Lung and Blood Institute, National Asthma Education Program. Expert Panel Report: Guidelines for the diagnosis and management of asthma. J Allergy Clin Immunol 1991; 88: (Suppl 3): 425-434.
18. Dubrawsky C, Awe RJ, Jenkins DG et al. The effect of bronchofiberscopic examination on oxygenation status. Chest 1975; 67: 137-140.
19. Pirozynski M, Sliwinski P, Zielinski J. Effect of different volumes of BAL fluid on arterial oxygen saturation. Eur Respir J 1988; 67: 943-947.
20. Burns DM, Shure D, Francoz R et al. The physiologic consequences of saline lobar lavage in healthy human adults. Am Rev Respir Dis 1983; 127: 695-701.
21. Peacock AJ, Benson-Mitchell R, Godfrey RC. Effect of fibreoptic bronchoscopy on pulmonary function. Thorax 1990; 45: 38-41.
22. European Society of Pneumology Task Group on BAL. Technical recommendations and guidelines for bronchoalveolar lavage (BAL). Eur Respir J 1989; 2: 561-585.
23. Summary and recommendations of a workshop on the investigative use of fibreoptic bronchoscopy and bronchoalveolar lavage in asthmatics. Am Rev Respir Dis 1985; 132: 180-182.