Anesthesia experience of EBUS/EUS-B

Oliveira, M.; Mourato, Carla; Pinho, Sónia; Silva, José Manuel; Santis, Michele De; Barradas, Lourdes; Freitas, Paulo

doi:10.1183/13993003.congress-2020.4180

Ultrasound 2020

DOI: 10.1183/13993003.congress-2020.4180

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Anesthesia experience of EBUS/EUS-B

M. Oliveira

Carla Mourato

Sónia Pinho

et al.

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2024

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“…), maintaining an adequate depth of sedation, providing hemodynamic stability, immobilising the patient and maintaining optimal oxygenation of the patient remain challenging. 3,4 Hypoxia and its consequences during the procedure are a real threat to the life of the patient.Globally, these procedures are traditionally performed under general anaesthesia or moderate sedation using a supraglottic airway device (SAD). High-flow nasal oxygen (HFNO) has been used for EBUS-TBNA procedures; however, currently, no study has compared the outcomes of the procedure when performed with HNFO to those performed with SAD and moderate sedation.…”

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Is High-Flow Nasal Oxygenation a Game Changer in Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration?

Ravi,

Mantha,

Mir

et al. 2024

Sultan Qaboos Univ Med J

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Objectives: A pilot observational study was done to compare High Flow Nasal Oxygen (HFNO) and supraglottic airway device (SAD) technique in patients undergoing endobronchial ultrasound (EBUS) and transbronchial needle aspiration procedures (TBNA) with an objective to evaluate the efficacy of HFNO in oncological patients. Methods: The study was conducted in a tertiary cancer center in Muscat, Sultanate of Oman from May 2022 to March 2023. Consecutive patients undergoing EBUS TBNA under moderate sedation were quasi-randomized into HFNO and SAD groups. The episodes and duration of hypoxia and the lowest level of oxygen saturation were the primary outcome measured. Results: A total of twenty-four patients were taken into the study of which 10 were in the HFNO group and 14 were in the SAD group with an equal number of males and females. The duration of the procedure in both the groups was similar (45±20 mins in HFNO vs 44±17 in the SAD group). Mean lowest oxygen saturation in the HFNO group was (93.5%±4), which was statistically significant in comparison to the SAD group (90±6). In both groups, the maximum hypoxia occurred during the early phase of the procedure. However, both the groups were similar for the cumulative duration of hypotension (140 secs in HFNO vs 55 secs in SAD) and bradycardia (25 secs in HFNO vs. 40 secs in SAD). Conclusion: HFNO can be a good alternative to the SAD and could be used safely and efficiently in the cohort of population in patients undergoing EBUS TBNA. Keywords: High flow nasal oxygenation; Endobronchial Ultrasound-guided Transbronchial Needle Aspiration; Supraglottic airway devices.

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confidence: 99%

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confidence: 99%

Is High-Flow Nasal Oxygenation a Game Changer in Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration?

Ravi,

Mantha,

Mir

et al. 2024

Sultan Qaboos Univ Med J

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Anesthesia experience of EBUS/EUS-B

Cited by 1 publication

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Is High-Flow Nasal Oxygenation a Game Changer in Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration?

Is High-Flow Nasal Oxygenation a Game Changer in Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration?

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