[Fiber bronchoscopy in the early diagnosis and treatment of aspiration in patients with severe craniocerebral and associated injuries].

The use of fiber bronchoscopy (FBS) for early diagnosis of aspiration in patients with grave craniocerebral (CCI) and combined injury is analyzed. Aspiration is not always associated with a clear-cut clinical picture in this cohort of patients, and x-ray examination of thoracic organs during the first hours after the injury is ineffective. High diagnostic potentials of BFS and possibility of removing the contents from the tracheobronchial tree under visual control dictate this measure for all cases with grave CCI and combined injuries during the first hours of hospitalization.