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Full Airway Drainage by Fiber Bronchoscopy Through Artificial Airway in the Treatment of Occult Traumatic Atelectasis

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Abstract

The objective of this study is to investigate the effects of full airway drainage by fiber bronchoscopy through artificial airway in the treatment of traumatic atelectasis with occult manifestations. From May 2006 to May 2011, 40 cases of occult traumatic atelectasis were enrolled into our prospective study. Group A (n = 18) received drainage by nasal bronchoscope; group B underwent airway drainage by fiber bronchoscopy through artificial airway (n = 22). The effects of treatment were evaluated by the incidence of adult respiratory distress syndrome (ARDS), lung abscess, and the average length of hospital stay. Compared with nasal fiber-optic treatment, airway drainage by fiber bronchoscopy through artificial airway reduced the incidence of ARDS (p = 0.013) and lung abscess (p = 0.062) and shortened the mean length of stay (p = 0.018). Making the decision to create an artificial airway timely and carry out lung lavage by fiber bronchoscopy through artificial airway played a significant role in the treatment of occult traumatic atelectasis.

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Authors and Affiliations

  1. The Department of Emergency Intensive Care Unit, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China

    Xue Hong Zhao

  2. The Department of General Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China

    Yun Zhang & Shao Yang Zhang

  3. The Women’s Hospital Affiliated to Medical College of Zhejiang University, Hangzhou, Zhejiang Province, China

    Zhong Yan Liang

  4. The Department of Intensive Care Unit, Sir Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University, Hangzhou, Zhejiang Province, China

    Wen Qiao Yu

  5. The Department of Surgical Intensive Care Unit, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China

    Fang-fang Huang

Authors
  1. Xue Hong Zhao
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  2. Yun Zhang
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  3. Zhong Yan Liang
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  4. Shao Yang Zhang
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  5. Wen Qiao Yu
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  6. Fang-fang Huang
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Corresponding author

Correspondence to Fang-fang Huang.

Additional information

Zhao Xue Hong and Zhang Yun contributed equally to this study.

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Zhao, X.H., Zhang, Y., Liang, Z.Y. et al. Full Airway Drainage by Fiber Bronchoscopy Through Artificial Airway in the Treatment of Occult Traumatic Atelectasis. Indian J Surg 77 (Suppl 3), 1061–1066 (2015). https://doi.org/10.1007/s12262-014-1145-z

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  • DOI: https://doi.org/10.1007/s12262-014-1145-z

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