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Critical care nurse · Jun 2011
ReviewFlexible bronchoscopy assisted by noninvasive positive pressure ventilation.
- Septimiu D Murgu, Jocelyn Pecson, and Henri G Colt.
- Department of Medicine, University of California School of Medicine, Irvine, California, Orange, CA 92868, USA. smurgu@uci.edu
- Crit Care Nurse. 2011 Jun 1; 31 (3): 70-6.
AbstractNoninvasive positive pressure ventilation is an alternative to intubation in critically ill patients with respiratory insufficiency or poor gas exchange who may require flexible bronchoscopy for diagnostic or therapeutic purposes. This ventilatory technique might help decrease the risk of bronchoscopy-related complications in patients with refractory hypoxemia, postoperative respiratory distress, severe emphysema, obstructive sleep apnea, and obesity hypoventilation syndrome and allows bronchoscopic assessment of patients with severe dyspnea from expiratory central airway collapse. In this review, the physiological rationale, indications, contraindications, techniques, and monitoring requirements for flexible bronchoscopy assisted by noninvasive positive pressure ventilation are described, with an emphasis on the role of critical care nurses in this procedure.
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