Bronchoalveolar lavage in intensive care units

Alberto Pesci, M. Majori, A. Caminati

Research output: Contribution to journalArticle

Abstract

Pneumonia is common in those patients placed in intensive care units, especially in mechanically ventilated patients. The high mortality rate of ventilator-associated pneumonia requires a rapid initiation of the appropriate antibiotic treatment. Patients who do not respond to initial antibiotic regimens could have the additional benefit of the use of invasive techniques such as bronchoalveolar lavage. Moreover, BAL is of clinical use to identify several non-infectious pulmonary conditions that may mimic pneumonia in these patients. Such conditions include pulmonary haemorrhages, acute eosinophilic pneumonia, malignancy, drug-induced toxicity, adult respiratory distress syndrome and cardiogenic pulmonary oedema. It is important to distinguish these conditions from pneumonia because the management and prognosis of these entities is quite different.

Original languageEnglish
Pages (from-to)39-43
Number of pages5
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume61
Issue number1
Publication statusPublished - Jan 2004

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Keywords

  • Bronchoalveolar lavage
  • Intensive care units
  • Ventilator-associated pneumonia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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