Author/Editor		Letonja, Saša
Title		Bronhoskopija na intenzivnem oddelku
Translated title		Bronchoscopy in the intensive care unit (ICU)
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 7, št. 18
Publication year		2002
Volume		str. 22-5
Language		slo
Abstract		Since critically-ill patients cared for in the ICU may be too unstable to move safely, they are evaluated by bedside diagnostic procedures. Bronchoscopy in the ICU may be done for diagnostic or therapeutic purposes. Fibre-optic bronchoscopy is used to remove thick mucous secretions and plugs from the airway, to obtain microbiological specimens from the lower respiratory tract, to diagnose and control haemoptysis, and to identify endobronchial obstruction and traumatic airway injury. Bronchoscopy is performed under close cardiorespiratory monitoring with the patient adequately ventilated and oxygenated. The rate of complications occurring during and after bronchoscopy is very low. There is, however, still a diversity of opinion concerning the use of bronchoscopic lung biopsy in the ICU setting.
Summary		Bolnike na intenzivnem oddelku obravnavamo kot bolnike z visokim tveganjem, zato preiskavo opravljamo na oddelku samem. Bronhoskopija je lahko v intenzivni enoti diagnostična ali terapevtska ali oboje. Odstranjujemo zaostali bronhialni sekret, ki zapira večje dihalne poti, s pomočjo bronhoskopa jemljemo vzorce za mikrobiološke preiskave, diagnosticiramo in zdravimo endobronhialne krvavitve, uporabljamo ga za diagnostiko endobronhialnih zapor in pri poškodbi prsnega koša. Preiskavo opravimo ob skrbnem kardiorespiratornem monitoriranju, bolnik mora biti ustrezno ventiliran in oksigeniran. Zapletov ob bronhoskopiji in po njej je malo, o izvajanju bronhoskopskih biopsij pljuč na intenzivnem oddelku pa so mnenja še vedno deljena.
Descriptors		INTENSIVE CARE UNITS BRONCHOSCOPY HEMOPTYSIS ATELECTASIS BRONCHIAL SPASM PNEUMONIA RESPIRATION, ARTIFICIAL