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Bronchoalveolar Lavage in Immunocompromised Patients: Clinical and Functional Consequences
Section snippets
MATERIALS AND METHODS
The study design was approved by the Ethics Committee of our institution and informed consent was obtained from all the patients.
RESULTS
The procedure was well tolerated by all the patients; it lasted 12 ± 14 min and the lavage required 2.9 ±0.8 min. A mean of 79 ±26 ml (range: 47 to 144 ml) of the 200 ml of saline solution instilled was retained in the lung (39.5 percent). No significant difference was found between the groups.
DISCUSSION
In this small sample of patients, BAL was associated with marked but transient desaturation. However, in contrast to the report by Martin et al,11 none of our patients required mechanical ventilation after bronchoscopy.
Bronchoscopy and lavage induced a significant drop in SaO2. Several authors have studied changes in arterial blood gases during fiberoscopy with saline solution lobar lavage,14, 15, 16 although none used pulse oximetry. Burns et al14 performed repeated arterial blood gas
ACKNOWLEDGMENT
The authors thank F. Delcampe, C. Tetard, and E. Benacquista for the preparation of the manuscript.
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