Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pulmonary diagnostic procedures in the critically ill.

W S Krell1

  • 1Wayne State University, Detroit, Michigan.

Critical Care Clinics
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Airway responses to inhaled ouabain in subjects with and without asthma.

Mayo Clinic proceedings·1986
Same author

Pulmonary function in relapsing polychondritis.

The American review of respiratory disease·1986
Same author

Effects of acute pleural effusion on respiratory system mechanics in dogs.

Journal of applied physiology (Bethesda, Md. : 1985)·1985
Same author

Effects of chest wall on volume and strain patterns in canine lungs.

Journal of applied physiology (Bethesda, Md. : 1985)·1985
Same author

Quiet-breathing vs. panting methods for determination of specific airway conductance.

Journal of applied physiology: respiratory, environmental and exercise physiology·1984

Choosing diagnostic procedures for critically ill patients with new pulmonary infiltrates involves balancing risks and benefits. While bronchoscopy and open lung biopsy offer diagnostic value, their impact on patient survival remains uncertain.

Area of Science:

  • Pulmonary Medicine
  • Diagnostic Procedures
  • Critical Care

Background:

  • Critically ill patients with new pulmonary infiltrates require careful diagnostic evaluation.
  • Initial steps include medication review, fluid status assessment, and considering underlying diseases.
  • Cultures and serologic testing may supplement other diagnostic procedures.

Purpose of the Study:

  • To review diagnostic procedures for pulmonary infiltrates in critically ill patients.
  • To compare the diagnostic yield and complication risks of bronchoscopy and open lung biopsy.
  • To evaluate the impact of specific diagnoses on patient morbidity and mortality.

Main Methods:

  • Review of diagnostic strategies for pulmonary infiltrates.
  • Comparison of bronchoscopy (including transbronchoscopic lung biopsy) and open lung biopsy.

Related Experiment Videos

  • Analysis of diagnostic yield, complication rates, and impact on patient outcomes.

    • Main Results:

    • Bronchoscopy is suitable for slow-progressing disease but carries risks.
    • Transbronchoscopic lung biopsy increases diagnostic yield over lavage/brushing.
    • Open lung biopsy offers high yields with low complication rates but is invasive.
    • Studies show limited impact of specific diagnoses on survival, despite therapeutic changes.

    Conclusions:

    • The choice of diagnostic procedure must weigh expected benefits against potential complications.
    • Open lung biopsy may be necessary for rapidly progressive disease or high-risk bronchoscopy patients.
    • The ultimate benefit of a specific diagnosis on patient survival requires further investigation.