Broncho-alveolar Lavage Under Noninvasive Ventilation With Propofol TCI in Patient With AHRF
Status:
Completed
Trial end date:
2011-06-01
Target enrollment:
Participant gender:
Summary
Fiberoptic bronchoscopy (FOB) is an important tool for the diagnosis of pulmonary diseases,
more particularly in infectious pneumonia. In patients with severe acute hypoxemic
respiratory failure, FOB may be contra-indicated until the patient is intubated and control
of its oxygenation obtained. In the literature several authors showed that performing FOB
under non invasive ventilation (NIV) preserved oxygenation of the patient; and the recent
French Consensus on NIV recommends performing FOB under NIV in patients with acute hypoxemic
respiratory failure.
Nevertheless this procedure remains uncomfortable in most patients with respiratory failure.
In addition, patient's agitation may lead to desaturation, and compromise the realization of
FOB.