Abstract

Bronchoalveolar lavage (BAL) can be performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. Eighty patients, were selected for study. Fluid recoveries were significantly less in the GA group for both the bronchial and alveolar lavages. The differences were confirmed for BAL fluid recovery in a subsequent group of 120 unselected patients. Bronchoscope size did not appear to affect recovery, nor did anesthesia time; BAL fluid recovery from patients with respiratory failure who were intubated and mechanically ventilated was similar to that in the GA group, suggesting that lower recovery rates may be due to mechanical ventilation. The BAL fluid cell counts were related to fluid recovery, but airway neutrophils represented a higher percentage of BAL lavage fluid cells in the GA lavages, independent of differences in the volume of lavage fluid recovered.

Original languageEnglish (US)
Pages (from-to)1032-1037
Number of pages6
JournalChest
Volume104
Issue number4
DOIs
StatePublished - Jan 1 1993

Fingerprint

Bronchoalveolar Lavage Fluid
Bronchoalveolar Lavage
Local Anesthesia
General Anesthesia
Therapeutic Irrigation
Anesthesia
Bronchoscopes
Artificial Respiration
Respiratory Insufficiency
Neutrophils
Cell Count

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

De Blasio, F., Daughton, D. M., Thompson, A. B., Robbins, R. A., Spurzem, J. R., Sisson, J. H., ... Rennard, S. I. (1993). General vs local anesthesia: Effect on bronchoalveolar lavage findings. Chest, 104(4), 1032-1037. https://doi.org/10.1378/chest.104.4.1032

General vs local anesthesia : Effect on bronchoalveolar lavage findings. / De Blasio, F.; Daughton, D. M.; Thompson, Austin Bassett; Robbins, R. A.; Spurzem, J. R.; Sisson, Joseph Harold; Von Essen, Susanna G; Romberger, Debra; Rubinstein, I.; Floreani, A. A.; Boomsma, J.; Pezza, A.; Rennard, S. I.

In: Chest, Vol. 104, No. 4, 01.01.1993, p. 1032-1037.

Research output: Contribution to journalArticle

De Blasio, F, Daughton, DM, Thompson, AB, Robbins, RA, Spurzem, JR, Sisson, JH, Von Essen, SG, Romberger, D, Rubinstein, I, Floreani, AA, Boomsma, J, Pezza, A & Rennard, SI 1993, 'General vs local anesthesia: Effect on bronchoalveolar lavage findings', Chest, vol. 104, no. 4, pp. 1032-1037. https://doi.org/10.1378/chest.104.4.1032
De Blasio, F. ; Daughton, D. M. ; Thompson, Austin Bassett ; Robbins, R. A. ; Spurzem, J. R. ; Sisson, Joseph Harold ; Von Essen, Susanna G ; Romberger, Debra ; Rubinstein, I. ; Floreani, A. A. ; Boomsma, J. ; Pezza, A. ; Rennard, S. I. / General vs local anesthesia : Effect on bronchoalveolar lavage findings. In: Chest. 1993 ; Vol. 104, No. 4. pp. 1032-1037.
@article{1a360b111c2644609c4c4884c96a47e0,
title = "General vs local anesthesia: Effect on bronchoalveolar lavage findings",
abstract = "Bronchoalveolar lavage (BAL) can be performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. Eighty patients, were selected for study. Fluid recoveries were significantly less in the GA group for both the bronchial and alveolar lavages. The differences were confirmed for BAL fluid recovery in a subsequent group of 120 unselected patients. Bronchoscope size did not appear to affect recovery, nor did anesthesia time; BAL fluid recovery from patients with respiratory failure who were intubated and mechanically ventilated was similar to that in the GA group, suggesting that lower recovery rates may be due to mechanical ventilation. The BAL fluid cell counts were related to fluid recovery, but airway neutrophils represented a higher percentage of BAL lavage fluid cells in the GA lavages, independent of differences in the volume of lavage fluid recovered.",
author = "{De Blasio}, F. and Daughton, {D. M.} and Thompson, {Austin Bassett} and Robbins, {R. A.} and Spurzem, {J. R.} and Sisson, {Joseph Harold} and {Von Essen}, {Susanna G} and Debra Romberger and I. Rubinstein and Floreani, {A. A.} and J. Boomsma and A. Pezza and Rennard, {S. I.}",
year = "1993",
month = "1",
day = "1",
doi = "10.1378/chest.104.4.1032",
language = "English (US)",
volume = "104",
pages = "1032--1037",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "4",

}

TY - JOUR

T1 - General vs local anesthesia

T2 - Effect on bronchoalveolar lavage findings

AU - De Blasio, F.

AU - Daughton, D. M.

AU - Thompson, Austin Bassett

AU - Robbins, R. A.

AU - Spurzem, J. R.

AU - Sisson, Joseph Harold

AU - Von Essen, Susanna G

AU - Romberger, Debra

AU - Rubinstein, I.

AU - Floreani, A. A.

AU - Boomsma, J.

AU - Pezza, A.

AU - Rennard, S. I.

PY - 1993/1/1

Y1 - 1993/1/1

N2 - Bronchoalveolar lavage (BAL) can be performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. Eighty patients, were selected for study. Fluid recoveries were significantly less in the GA group for both the bronchial and alveolar lavages. The differences were confirmed for BAL fluid recovery in a subsequent group of 120 unselected patients. Bronchoscope size did not appear to affect recovery, nor did anesthesia time; BAL fluid recovery from patients with respiratory failure who were intubated and mechanically ventilated was similar to that in the GA group, suggesting that lower recovery rates may be due to mechanical ventilation. The BAL fluid cell counts were related to fluid recovery, but airway neutrophils represented a higher percentage of BAL lavage fluid cells in the GA lavages, independent of differences in the volume of lavage fluid recovered.

AB - Bronchoalveolar lavage (BAL) can be performed with the patient undergoing either local or general anesthesia (GA). This study investigates whether the type of anesthesia affects BAL fluid and cell recovery. Eighty patients, were selected for study. Fluid recoveries were significantly less in the GA group for both the bronchial and alveolar lavages. The differences were confirmed for BAL fluid recovery in a subsequent group of 120 unselected patients. Bronchoscope size did not appear to affect recovery, nor did anesthesia time; BAL fluid recovery from patients with respiratory failure who were intubated and mechanically ventilated was similar to that in the GA group, suggesting that lower recovery rates may be due to mechanical ventilation. The BAL fluid cell counts were related to fluid recovery, but airway neutrophils represented a higher percentage of BAL lavage fluid cells in the GA lavages, independent of differences in the volume of lavage fluid recovered.

UR - http://www.scopus.com/inward/record.url?scp=0027443653&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027443653&partnerID=8YFLogxK

U2 - 10.1378/chest.104.4.1032

DO - 10.1378/chest.104.4.1032

M3 - Article

VL - 104

SP - 1032

EP - 1037

JO - Chest

JF - Chest

SN - 0012-3692

IS - 4

ER -