Combined bronchoalveolar lavage and transbronchial lung biopsy: Safety and yield in ventilated patients

European Respiratory Journal

Volumn 21, Issue 3, 2003, Pages 489-494

  Bulpa, Pierre A ^a   Dive, A M ^a   Mertens, L ^a   Delos, M A ^a   Jamart, J ^a   Evrard, P A ^a   Gonzalez, M R ^a   Installe E J ^a  

^a UNIVERSITY HOSPITAL OF MONT GODINNE   (Belgium)

Author keywords

Bronchoalveolar lavage; Diagnostic tool; Mechanically ventilated patients; Transbronchial lung biopsy

Indexed keywords

PREDNISONE; STEROID;

ACUTE DISEASE; ARTICLE; ARTIFICIAL VENTILATION; BLEEDING; CLINICAL ARTICLE; CONTROLLED STUDY; DIAGNOSTIC VALUE; FATALITY; FIBERSCOPE ENDOSCOPY; HIGH RISK PATIENT; HISTOPATHOLOGY; HUMAN; HYPOTENSION; IMMUNE DEFICIENCY; IMMUNOCOMPETENCE; LUNG BIOPSY; LUNG INFILTRATE; LUNG LAVAGE; PNEUMOTHORAX; PRIORITY JOURNAL; RESPIRATORY DISTRESS SYNDROME; RETROSPECTIVE STUDY; SAFETY; TRANSBRONCHIAL BIOPSY;

EID: 0037340512     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.03.00298303     Document Type: Article

References (33)

1. de Jaeger A, Litalien C, Lacroix J, Guertin M-C, Infante-Rivard C. Protected specimen brush or bronchoalveolar lavage to diagnose bacterial nosocomial pneumonia in ventilated adults: A meta-analysis. Crit Care Med 1999; 27: 2548-2560.
2. Flabouris A, Myburgh J. The utility of open lung biopsy in patients requiring mechanical ventilation. Chest 1999; 115: 811-817.
3. Nelems JM, Cooper JD, Henderson RD, Peng T, Phillips MJ. Emergency open lung biopsy. Ann Thorac Surg 1976; 22: 260-264.
4. Canver CC, Mentzer RM. The role of open lung biopsy in early and late survival of ventilator-dependent patients with diffuse idiopathic lung disease. J Cardiovasc Surg 1994; 35: 151-155.
5. Papazian L, Thomas P, Bregeon F, et al. Open-lung biopsy in patients with acute respiratory distress syndrome. Anesthesiology 1998; 88: 935-944.
6. Warner DO, Warner MA, Divertie MB. Open lung biopsy in patients with diffuse pulmonary infiltrates and acute respiratory failure. Am Rev Respir Dis 1988; 137: 90-94.
7. O'Brien JD, Ettinger NA, Shevlin D, Kollef MH. Safety and yield of transbronchial biopsy in mechanically ventilated patients. Crit Care Med 1997; 25: 440-446.
8. Papin TA, Grum CM, Weg JG. Transbronchial biopsy during mechanical ventilation. Chest 1986; 89: 168-170.
9. Pincus PS, Kallenbach JM, Hurwitz MD, et al. Transbronchial biopsy during mechanical ventilation. Crit Care Med 1987; 15: 1136-1139.
10. Dombret MC. Endoscopie bronchique en réanimation. Technique et indications de l'endoscopie bronchique chez le patient ventilé artificiellement. Rev Mal Respir 1999; 16: 3S91-3S95.
11. Marquette CH, Copin M-C, Wallet F, et al. Diagnostic tests for pneumonia in ventilated patients: prospective evaluation of diagnostic accuracy using histology as a diagnostic gold standard. Am J Respir Crit Care Med 1995; 151: 1878-1888.
12. Bulpa PA, Dive AM, Garrino MG, et al. Chronic obstructive pulmonary disease patients with invasive pulmonary aspergillosis: benefits of intensive care? Intensive Care Med 2001; 27: 59-67.
13. Sibille Y, Martinot JB, Staquet P, Delaunois L, Chatelain B, Delacroix DL. Antiproteases are increased in bronchoalveolar lavage in interstitial lung disease. Eur Respir J 1988; 1: 498-504.
14. Bernard GR, Artigas A, Brigham KL, et al. The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes and clinical trial coordination. Am J Respir Crit Care Med 1994; 149: 814-824.
15. Turner JS, Willcox PA, Hayhurst MD, Potgieter PD, Fiberoptic bronchoscopy in the intensive care unit. A prospective study of 147 procedures in 107 patients. Crit Care Med 1994; 22: 259-264.
16. Martin C, Papazian L, Payan M-J, Saux P, Gouin F. Pulmonary fibrosis correlates with outcome in adult respiratory distress syndrome. A study in mechanically ventilated patients. Chest 1995; 107: 196-200.
17. Montravers P, Gauzit R, Dombret MC, Blanchet F, Desmonts JM. Cardiopulmonary effects of bronchoalveolar lavage in critically ill patients. Chest 1993; 104: 1541-1547.
18. Papazian L, Colt HG, Scemama F, Martin C, Gouin F. Effects of consecutive protected specimen brushing and bronchoalveolar lavage on gas exchange and hemodynamics in ventilated patients. Chest 1993; 104: 1548-1552.
19. Guerra LF, Baughman RP. Use of bronchoalveolar lavage to diagnose bacterial pneumonia in mechanically ventilated patients. Crit Care Med 1990; 18: 169-173.
20. Bauer TT, Torres A, Ewig S, et al. Effects of bronchoalveolar lavage volume on arterial oxygenation in mechanically ventilated patients with pneumonia. Intensive Care Med 2001; 27: 384-393.
21. Ricou B, Grandin S, Nicod L, Thorens JB, Suter PM. Adult and paediatric size bronchoscopes for bronchoalveolar lavage in mechanically ventilated patients: yield and side effects. Thorax 1995; 50: 290-293.
22. Hertz MI, Woodward ME, Gross CR, Swart M, Marcy TW, Bitterman PB. Safety of bronchoalveolar lavage in the critically ill, mechanically ventilated patient. Crit Care Med 1991; 19: 1526-1532.
23. Steinberg KP, Mitchell DR, Maunder RJ, Milberg JA, Whitcomb ME, Hudson LD. Safety of bronchoalveolar lavage in patients with adult respiratory distress syndrome. Am Rev Respir Dis 1993; 148: 556-561.
24. Hill JD, Ratliff JL, Parrott JC, et al. Pulmonary pathology in acute respiratory insufficiency: Lung biopsy as a diagnostic tool. J Thorac Cardiovasc Surg 1976; 71: 64-71.
25. Cheson BD, Samlowski WE, Tang TT, Spruance SL. Value of open-lung biopsy in 87 immunocompromised patients with pulmonary infiltrates. Cancer 1985; 55: 453-459.
26. Ray JF, Lawton BR, Myers WO, et al. Open pulmonary biopsy. Nineteen-year experience with 416 consecutive operations. Chest 1976; 69: 43-47.
27. White DA, Wong PW, Downey R. The utility of open lung biopsy in patients with hematologic malignancies. Am J Respir Crit Care Med 2000; 161: 723-729.
28. Kramer MR, Berkman N, Mintz B, Godfrey S, Saute M, Amir G. The role of open lung biopsy in the management and outcome of patients with diffuse lung disease. Ann Thorac Surg 1998; 65: 198-202.
29. Satterfield JR, McLaughlin JS. Open lung biopsy in diagnosing pulmonary infiltrates in immunosuppressed patients. Ann Thorac Surg 1979; 28: 359-362.
30. Meduri GU, Chin AJ, Leeper KV, et al. Corticosteroid rescue treatment of progressive fibroproliferation in late ARDS. Patterns of response and predictors of outcome. Chest 1994; 105: 1516-1527.
31. Meduri GU, Headley AS, Golden E, et al. Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome. A randomized controlled trial. JAMA 1998; 280: 159-165.
32. Broaddus C, Dake MD, Stulbarg MS, et al. Bronchoalveolar lavage and transbronchial biopsy for the diagnosis of pulmonary infections in the acquired immunodeficiency syndrome. Ann Intern Med 1985; 102: 747-752.
33. Meduri GU. Pulmonary fibroproliferation and death in patients with late ARDS. Chest 1995; 107: 5-6.