Do you have any strategies to increase yield while doing a BAL?
2 Answers
Mednet Member
Pulmonology · Thomas Jefferson University Hospitals
The key is not to rush. Obtain good topical anesthesia around the bronchial segment selected for BAL to minimize coughing during the procedure and maintain a good seal. Administer lavage fluid slowly and gently, advancing the scope during infusion to "tighten" the seal. Have the therapist/nurse slow...
Mednet Member
Pulmonology · University of Maryland Medical Center
A few things that might work.
- Ensure that your scope is appropriately wedged into a segment that is not collapsible.
- If the segment appears collapsible, then attempt to gently over-wedge (atraumatically).
- Before instilling aliquot of saline, ensure that your handlebar is in tension, either up or do...