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Журнал «Медицина неотложных состояний» Том 21, №3, 2025

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Бронхоскопія в інтенсивній терапії: кому, коли, навіщо? (Огляд літератури)

Бронхоскопія в інтенсивній терапії: кому, коли, навіщо? (Огляд літератури)

Авторы: Усенко О.Ю., Сидюк А.В., Сидюк О.Є., Антоненко В.В., Чечіль С.І.
ДУ «Національний науковий центр хірургії та трансплантології імені О.О. Шалімова НАМН України», м. Київ, Україна

Рубрики: Медицина неотложных состояний

Разделы: Справочник специалиста

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Резюме

Бронхоскопія — фундаментальний інструмент в арсеналі реаніматолога. Ця процедура є корисною для діагностики та лікування гострої дихальної недостатності. Вона може бути швидко виконана в будь-який час біля ліжка пацієнта і потребує мінімальної допомоги для виконання. Бронхоскопія стала стандартом догляду з такою тріадою: огляд, забір матеріалу та лікування пацієнтів у критичних станах. Це безцінний інструмент для діагностичних і терапевтичних цілей у критично хворих пацієнтів у відділенні інтенсивної терапії. Ця стаття охоплює різні важливі аспекти, включаючи відбір та підготовку пацієнта, діагностичні бронхоскопічні процедури, дезінфекцію обладнання та бронхоскопію в умовах інтенсивної терапії.

Bronchoscopy is a fundamental tool in the armamentarium of an intensivist. This procedure is useful in the diagnosis and management of acute respiratory failure. It can be rapidly implemented at any time at the bedside and requires minimal assistance to perform. Bronchoscopy has become a standard of care for the triad of inspection, sampling, and treatment in critical care patients. It is an invaluable tool for diagnostic and therapeutic purposes in critically ill patients in intensive care unit. This article covers various important aspects, including patient selection and preparation, diagnostic bronchoscopic procedures, equipment disinfection, and bronchoscopy in critical care setting.


Ключевые слова

бронхоскопія; інтенсивна терапія; вентиляційна підтримка та бронхоскопія; лікування дихальної недостатності

bronchoscopy; intensive care unit; ventilatory support and bronchoscopy; respiratory failure management

doi: http://dx.doi.org/10.22141/2224-0586.21.3.2025.1876

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