Presence of bronchial breath sound as a sign of consolidation found to be persisted even after antipseudomonal antibiotics.
On admission, physical examination revealed prominent clubbing, SpO2 76%, tachycardia, tachypnea, BP 110/80mmHg, raised JVP, bilateral pedal oedema, tubular bronchial breath sounds over right infrascapular region and late inspiratory crackles, predominantly over bilateral infrascapular regions.
Bronchial breath sounds
are harsh, loud, and high-pitched, and are heard over the trachea and thorax.
To a lesser extent the same can be said of bronchial breath sounds
and the relative acoustic silence of non-ventilated or poorly aerated zones.
Although physical exam for rales or bronchial breath sounds
can be important, it is less sensitive and specific than chest films.
2[degrees]C and bronchial breath sounds
at the right upper zone lung field.
Rales and bronchial breath sounds
were common, and chest x-ray confirmed pneumonia in 28 patients.
Dullness to percussion, bronchial breath sounds
, and egophony were elicited in the left lower lung zone.
Chest examination revealed dullness to percussion at the left lung base with bronchial breath sounds
Most common signs associated with early onset VAP were crepitation's (83%), Fever (80%), Tachycardia (80%), and bronchial breath sounds (28%) and pleural effusion (3%).
Fever and tachycardia were commonest signs in patients with late onset VAP with 61% having it and other signs were crepitation's (58%), bronchial breath sounds (39%), increased VR/TF 29% and pleural effusion 16%.
Crackles and bronchial breath sounds
may be heard over the affected lung tissue.