A 70-year-old man was shifted to the intensive care unit (ICU) due to hypoxic respiratory failure secondary to community-acquired pneumonia. He was managed with a high-flow nasal cannula, intravenous fluids, and antibiotics. On the second day of hospitalization, the patient’s condition worsened due to increased pulmonary secretions . For this, the critical care team decided to perform a bedside bronchoscopy. After obtaining informed consent, the patient was given 2 mg of intravenous (IV) midazolam, and the airways were inspected.
Then, by introducing 20 mL of normal saline to the right middle lobe, the bronchoalveolar lavage was performed. Afterward, the fluid was suctioned out and the bronchoscope was removed without any complications. However, after the procedure, the patient was difficult to arouse . The patient was found to be almost apneic with very shallow breaths . Therefore, the…
