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Bronchoalveolar lavage (BAL), also known as bronchoalveolar washing, is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination.
Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument ( bronchoscope ) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy .
Organisms include those harmful to human health, or to animal health. [1] The Plant Protection and Quarantine programs (PPQ) of the Animal and Plant Health Inspection Service (APHIS) are listed in 7 CFR Part 331. The Department of Health and Human Services (HHS) lists are located at 42 CFR Part 73.3 [2] and 42 CFR Part 73.4. [3]
Rapid diagnosis and treatment are important in the care of TBI; [6] if the injury is not diagnosed shortly after the injury, the risk of complications is higher. [11] Bronchoscopy is the most effective method to diagnose, locate, and determine the severity of TBI, [6] [10] and it is usually the only method that allows a definitive diagnosis. [23]
In contrast to supraglottic devices, infraglottic devices create a conduit between the mouth, passing through the glottis, and into the trachea. There are many infraglottic methods available and the chosen technique is reliant on the accessibility of medical equipment, competence of the clinician and the patient's injury or disease.
Rigid bronchoscopy allows good airway control, ready bleeding management, better visualization, and ability to manipulate the aspirated object with a variety of forceps. [14] Flexible bronchoscopy may be used for extraction when distal access is needed and the operator is experienced in this technique. [ 14 ]
Treatment of unconscious patients focuses on preventing or treating obstructions of the airway, such as head-tilt/chin-lift and jaw-thrust maneuvers, while the use of the recovery position mainly prevents aspiration of things like stomach content or blood.
Interventional pulmonology (IP, also called interventional pulmonary medicine) is a maturing medical sub-specialty from its parent specialty of pulmonary medicine.It deals specifically with minimally invasive endoscopic and percutaneous procedures for diagnosis and treatment of neoplastic as well as non-neoplastic diseases of the airways, lungs, and pleura.