Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: No sampling technique was superior for the diagnosis of ventilatorassociated pneumonia. | Available online at http content 9 2 E4 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique No sampling technique was superior for the diagnosis of ventilator-associated pneumonia Deanna Blisard 1 Eric B. Milbrandt 2 and Samuel A. Tisherman3 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 3 Associate Professor Departments of Surgery and Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 14 February 2005 This article is online at http content 9 2 E4 2005 BioMed Central Ltd Critical Care 2005 9 E4 DOI cc3491 Expanded Abstract Citation Wood AY Davit AJ 2nd Ciraulo DL Arp NW Richart CM Maxwell RA Barker DE A prospective assessment of diagnostic efficacy of blind protective bronchial brushings compared to bronchoscope-assisted lavage bronchoscope-directed brushings and blind endotracheal aspirates in ventilator-associated pneumonia. J Trauma 2003 55 Background The diagnosis of ventilator-associated pneumonia VAP has proven to be a challenging task. Studies comparing invasive and non-invasive diagnostic approaches are lacking. Hypothesis The use of a blind protected brush is equivalent to bronchoscope-directed techniques in determining the microbiology of VAP while endotracheal aspirates are contaminated with oropharyngeal flora and of little value. Methods Design Single center prospective cohort study. Setting Level 1 trauma center at an academic medical center. Subjects Ninety trauma patients who were mechanically ventilated for at least 48 hours and deemed to have clinical indications suggestive of pneumonia new infiltrate on chest .
