La broncoscopia in unità di terapia intensiva

Translated title of the contribution: Bronchoscopy in intensive care units

Nicola Facciolongo, Roberto Piro, Francesco Menzella, Claudia Castagnetti, Luigi Zucchi

Research output: Contribution to journalArticlepeer-review

Abstract

Bronchoscopy in General and in Respiratory Intensive Care Units is an essential procedure to resolve critical situations that increasingly occur in clinical practice. This exam, especially if applied with flexible device, can perform several diagnostic and therapeutic manoeuvres that can significantly change the patients' outcome. Depending on the issue, there is indication to apply both the flexible and the rigid device which can also be used for various therapeutic purposes. Critical or immunocompromised patients can have particular benefit from the use of endoscopic methods; in these subjects it is extremely important to early obtain microbiological diagnosis of infectious diseases (eg VAP) to apply a proper therapy. Other main indications are: atelectasis, endotracheal intubation assistance, haemoptysis and restore of bronchial patency (which may be compromised by foreign bodies or mucus plugs). The role of bronchoscopy is also important in percutaneous tracheostomy and in the evaluation of eventual contraindications to decannulation. In consideration of the wide possibilities offered by these methods and of their several applications, collaboration between interventional pulmonologists and intensivists assumes primary importance in the management of critical patient.

Translated title of the contributionBronchoscopy in intensive care units
Original languageItalian
Pages (from-to)212-219
Number of pages8
JournalRassegna di Patologia dell'Apparato Respiratorio
Volume24
Issue number4
Publication statusPublished - Aug 2009

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Pulmonary and Respiratory Medicine

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