Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.22, sa.4, ss.193-201, 2015 (Scopus)
Objective: Mechanically ventilated critically ill intensive care unit (ICU) patients are under risk for ventilatory induced pneumonia (VIP) Ventilatory induced pneumonia has high mortality. It has been concluded that difficult intubation via LMA-FT can be predicted by initially doing a fiberoptic bronchoscopic evaluation. The primary aim of this prospective study was to compare the microbiological results and define the concordance of blind bronchoalveolar lavage (BAL) with endotracheal aspirates (ETA) in critically ill intensive care unit patients with ventilatory induced pneumonia. The secondary aim of the study was to evaluate the characteristics (distance of the catheter, BAL related complications) related to this technique Method: After Ethical Committee approval, 37 patients with suspected VIP were admitted to the study between April 20II-September 2011. BAL and ETA samples were collected, and ICU scores and laboratory parameters were recorded. Results: When the two sampling methods were compared (BAL with ETA), microbiological results were in concordance with each other. The result reporting times were also recorded and BAL results were significantly reported earlier than ETA results (p=0,05). In addition, the localizations of the BAL catheter in the lung fields were assessed. Although it was difficult to perform the sampling from the infiltration side, this did not influence the culture results. Conclusion: The blind BAL technique is a non-expensive and easy method with low complication rates. However it is not always easy to obtain the sampling from the infiltration side Tracheal aspirate, which is frequently used for the diagnosis of VIP since so many years, is in concordance with BAL.