BAL for pneumonia prevention in tracheostomy patients: A clinical trial study

Vejdan, Amir Kazem and Khosravi, Maliheh (2012) BAL for pneumonia prevention in tracheostomy patients: A clinical trial study. Pakistan Journal of Medical Sciences, 29 (1). ISSN 1681-715X

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Abstract

Objective: To evaluate the role of flexible bronchoscopy (FB) and bronchoalveolar lavage (BAL) on pneumonia prevention of tracheostomy patients in intensive care unit.

Methodology: This clinical trial was conducted on 67 head-injury patients who needed tracheostomy. The eligible patients were divided into two groups of different methods for removing the airway secretions. In intervention group, FB and BAL was added to routine conventional methods for airway clearance. Patients were followed for signs and symptoms of pneumonia.

Results: The risk of nosocomial pneumonia decreased from 35% to 14% in intervention group. The days of hospital stay were significantly reduced with bronchoscopic method.

Conclusions: Flexible Bronchoscopy is recommended to all ICU admitted patients that have tracheostomy tube and high volume of secretion in their airways. It can not only prevent the pneumonia formation decrease the morbidity and mortality rate but it can even shorten the ICU stay time and consequently reduce the costs of treatment.

Item Type: Article
Subjects: ScienceOpen Library > Medical Science
Depositing User: Managing Editor
Date Deposited: 16 May 2023 05:44
Last Modified: 03 Oct 2024 04:00
URI: http://scholar.researcherseuropeans.com/id/eprint/1267

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