Abstract
Introduction:Differentiating ARDS from other causes of respiratory failure can be challenging. CLE is a high resolution optical technique that, combined with conventional bronchoscopy, provides real-time, near-histology information about the alveolar compartment.
目标:To investigate feasibility and safety of CLE, and to describe different CLE characteristics of the alveolar compartment in patients with non-resolving respiratory failure on the ICU.
方法:Observational study of CLE imaging in mechanically ventilated patients with an indication for diagnostic bronchoscopy.
Results:包括10名患者的呼吸衰竭和双侧胸部不透性的临床特征未完全由心脏衰竭(ARDS)解释。主要的CT模式为接地玻璃(n = 4),合并(n = 3),网状(n = 1),其他(n = 2)。在所有患者中,均没有发生不良事件的患者,获得了肺泡室的高质量CLE成像。鉴定了5种不同的CLE模式(正常,肺泡填充液或细胞,早期和晚期纤维化)(图1).
结论:This is the first study to show feasibility, safety and CLE characteristics of the alveolar compartment for various causes of respiratory failure in mechanically ventilated patients. CLE imaging has added value to chest CT and has the potential to distinguish between important causes of respiratory failure in critically ill patients at the ICU.
脚注
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA3170.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available atwww.ers-education.org(ERS member access only).
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