Author/Editor		Šifrer, Franc; Drinovec, Igor; Trinkaus, Darinka; Kumelj, Marko; Tomič, Viktorija
Title		Mali bronhoalveolarni izpirek pri intubiranem bolniku
Translated title		Minibronchoalveolar lavage in intubated patient
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 3, št. 7
Publication year		1998
Volume		str. 141-3
Language		slo
Abstract		Lung infection in mechanically ventilated patients is vague and difficult to diagnose. It is generally suspected in patients with elevated body temperature, increased leukocyte count, radiologically confirmed pulmonary infiltrate and positive tracheal culture. Yet, accurate identification of bacteria infecting the lung parenchyma poses some problems. Since tracheal intubation is commonly complicated by bronchial infection, the collection of bacteriological specimens representative of alveolar space the tracheobronchial route exposes mechanically ventilated patients to increased risk of bronchial contamination. The paper describes our experience with the technique of protected minibronchoalveolar lavage requiring no bronchoscopy.
Summary		Diagnoza pljučne okužbe je pri intubiranem bolniku težavna in nezanesljiva. Na splošno je sprejeto, da imajo bolniki s povišano temperaturo, levkocitozo, infiltratom na pljučih in pozitivno trahealno kulturo verjetno pljučnico. Bronhialna okužba je posledica endotrahealne intubacije, zato je vsaka metoda, s pomočjo katere odvzamemo material za bakteriološko preiskavo iz periferije pljuč po traheobronhialni poti, vprašljiva zaradi kontaminacije. Opisujemo metodo nebronhoskopske male bronhoalveolarne lavaže (MBAL) z zaščitenim katetrom in svoje izkušnje s preiskavo.
Descriptors		INTUBATION, INTRATRACHEAL BRONCHOALVEOLAR LAVAGE FLUID PNEUMONIA, BACTERIAL CROSS INFECTION