Diagnostic Open Lung Biopsy in the Critically Ill Child

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 605-608
Author(s):  
Stacy A. Roback ◽  
William H. Weintraub ◽  
Mark Nesbit ◽  
Panayiotis K. Spanos ◽  
Barbara Burke ◽  
...  

Forty-six open biopsies in 40 acutely ill children with rapidly decreasing pulmonary reserve were performed at the University of Minnesota Hospitals between January 1, 1970, and January 1, 1972. Tissue obtained was adequate in all patients and no serious complications ensued. Information obtained resulted in the change in treatment in 30 patients. This procedure is recommended over closed biopsy when the magnitude of the patient's illness and degree of pulmonary function do not allow acceptance of the risks known to occur with a closed biopsy technique and when histologic examination of lung tissue is required.

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0196795 ◽  
Author(s):  
Carole Philipponnet ◽  
Lucie Cassagnes ◽  
Bruno Pereira ◽  
Jean-Louis Kemeny ◽  
Mojgan Devouassoux-Shisheboran ◽  
...  

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 308S
Author(s):  
Kalpaj R. Parekh ◽  
Timothy L. Van Natta ◽  
Joan Ricks-McGillin ◽  
Kelley McLaughlin ◽  
Mark D. Iannettoni

2007 ◽  
Vol 87 (9) ◽  
pp. 945-948
Author(s):  
R Steinberg ◽  
E Freud ◽  
J Ben-Ari ◽  
T Schonfeld ◽  
D Golinsky ◽  
...  

1999 ◽  
Vol 27 (Supplement) ◽  
pp. 95A
Author(s):  
Shamel A. Abd-Allah ◽  
Mohammad S. Siddiqui ◽  
Ronald M. Perkin

1998 ◽  
Vol 87 (9) ◽  
pp. 945-948 ◽  
Author(s):  
R. Steinberg ◽  
E. Freud ◽  
J. Ben-Ari ◽  
T. Schonfeld ◽  
D. Golinsky ◽  
...  

CHEST Journal ◽  
2003 ◽  
Vol 124 (4) ◽  
pp. 206S
Author(s):  
Raees Ahmed ◽  
Yaseen Arabi ◽  
Qanta A. Ahmed ◽  
Masood U. Rehman ◽  
Abdullah Al Shimemeri ◽  
...  

1997 ◽  
Vol 4 (5) ◽  
pp. 246-250 ◽  
Author(s):  
Richard Hughes ◽  
Glenn McGuire

OBJECTIVE: Evaluation of the benefits and risks of performing open lung biopsy (OLB) in critically ill, ventilator dependent intensive care unit patients.DESIGN: Retrospective chart review from 1990 to 1995.SETTING: A tertiary care teaching hospital intensive care unit.INTERVENTION: OLB in patients requiring mechanical ventilation for respiratory failure.MEASUREMENTS: Data collected included preoperative investigations, lung injury score, diagnosis, treatment and eventual outcome.RESULTS: Twenty-seven patients (14 male, 13 female) were mechanically ventilated before OLB for a median duration of seven days. A change in clinical management occurred in 85% of the patients as a result of new information obtained from the OLB. There was no statistical difference in overall outcome whether OLB was performed early or later in the course of respiratory failure once the patient was mechanically ventilated. The incidence of perioperative complications was 37%. Ten patients eventually left hospital.CONCLUSIONS: In a small percentage of intensive care patients refractory to the usual medical treatment modalities, open lung biopsy intervention is required to attempt to obtain a specific diagnosis.


CHEST Journal ◽  
1991 ◽  
Vol 99 (5) ◽  
pp. 1232-1237 ◽  
Author(s):  
Mary R. Suchyta ◽  
C. Gregory Elliott ◽  
Thomas Colby ◽  
Brad Y. Rasmusson ◽  
Alan H. Morris ◽  
...  

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