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Ventilator-associated pneumonia (VAP) is a type of lung infection that occurs in people who are on mechanical ventilation breathing machines in hospitals. As such, VAP typically affects critically ill persons that are in an intensive care unit (ICU) and have been on a mechanical ventilator for at least 48 hours.
Bronchoalveolar lavage (BAL), also known as bronchoalveolar washing, is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination.
Pneumothorax occurs in less than 1% of lung biopsy cases. Laryngospasm is a rare complication but may sometimes require tracheal intubation. Patients with tumors or significant bleeding may experience increased difficulty breathing after a bronchoscopic procedure, sometimes due to swelling of the mucous membranes of the airways.
An endotracheal tube should then be placed in order to prevent airway compromise from resulting inflammation after the procedure. [6] If the foreign body cannot be visualized, intubation, tracheotomy, or needle cricothyrotomy can be done to restore an airway for patients who have become unresponsive due to airway compromise. [2]
Antibiotics are appropriate when an infection has developed but should not delay extraction. [23] In fact, removal of the object may improve infection control by removing the infectious source as well as using cultures taken during the bronchoscopy to guide antibiotic choice. [23] When airway edema or swelling occur, the patient may have stridor.
Walking pneumonia, a lung infection caused by the bacterium Mycoplasma pneumoniae, tends to be most common among older children and adolescents but in 2024 has been rampant among young children.
If the symptoms worsen, the pneumonia does not improve with home treatment, or complications occur, hospitalization may be required. [69] Worldwide, approximately 7–13% of cases in children result in hospitalization, [ 23 ] whereas in the developed world between 22 and 42% of adults with community-acquired pneumonia are admitted. [ 69 ]
While infections do not spread from person-to-person contact, symptoms can include fever, cough, shortness of breath, and other symptoms of pneumonia. Symptoms can appear anywhere from 2 to 14 ...