Anesthesia for Bronchoscopy

Abdelmalak, Basem; Gildea, Thomas R.; Doyle, D. John

doi:10.2174/138161212803832290

Cited by 21 publications

(15 citation statements)

References 57 publications

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“…This level of gas leak is worse with rigid bronchoscope than flexible bronchoscopy. When TIVA is used, the integrity of intravenous access should be monitored closely and the Bispectral index monitor is routinely used to monitor the depth of anesthesia (9,10).…”

Section: Maintenance Of Anesthesiamentioning

confidence: 99%

Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience

Galway¹,

Zura²,

Khanna³

et al. 2019

J. Thorac. Dis

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The advent of advanced diagnostic bronchoscopy has shown an increased demand for anesthesiologists to administer anesthesia in the bronchoscopy suite. Procedures such as navigational bronchoscopy, airway stenting and advanced therapeutic procedures often require the presence of an anesthesiologist to manage these more complex patients and procedures. In this review we describe the various bronchoscopic procedures and anesthetic management and complications of these procedures at our institution The Cleveland Clinic, Cleveland Ohio.

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Section: Maintenance Of Anesthesiamentioning

confidence: 99%

Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience

Galway¹,

Zura²,

Khanna³

et al. 2019

J. Thorac. Dis

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“…Otro aspecto controvertido que es común a todos los procedimientos mínimamente invasivos (implantación de válvulas cardíacas transcatéter, toma de biopsias transbronquiales o a través del tracto digestivo, implantación de stents en vía aérea o colangiopancreatografías retrógradas endoscópi-cas entre otras), y a la cual no es ajena esta técnica, es la conveniencia de realizar los procedimientos en salas con organización orientada a procedimientos médicos (endoscópicos, hemodinámicos, fibrobroncoscópicos) en quirófanos, o en salas híbridas 5 . Probablemente una sala híbrida puede satisfacer las necesidades de los especialistas implicados, aunque suele imponerse una flexibilidad adaptada a la infraestructura y disponibilidad de cada centro.…”

Section: Useb-atb Mediastinoscopiaunclassified

Manejo anestésico para la realización de biopsias transbronquiales guiadas por ecobroncoscopía. Descripción de 9 casos y revisión de la literatura

2014

Rev Chil Anest

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resumenLa realización de procedimientos broncoscópicos intervencionistas precisa en muchas ocasiones de la asistencia de anestesiólogos, debido al potencial compromiso de la vía aérea, a la patología asociada y a la complejidad de los procedimientos. Describimos el manejo anestésico de 9 casos de ecobroncoscopias para biopsias de ganglios en cáncer de pulmón, con anestesia intravenosa y sin la necesidad de utilizar dispositivos supraglóticos ni transglóticos, revisando a su vez la literatura al respecto. AbstractAnesthesists are becoming increasingly involved in the performance of interventional bronchoscopies, because of the potential risk of compromising the patency of the airway, the presence of comorbidities ant the global complexity of the procedures. We describe in this paper the anesthetic management of 9 patients scheduled for nodal transbronchial ultrasound guided biopsy with intravenous agents and without the need of supraglotic or transglotic devices. INTroDuCCIÓNLa asistencia durante actos no estrictamente quirúrgicos implica cada vez más a especialistas en Anestesiología. A pesar de que la mayoría de las fibrobroncoscopias se realizan de forma rutinaria sin la concurrencia de anestesiólogos, ciertos procedimientos intervencionistas (biopsias transbronquiales guiadas por ecografía, resección de lesiones intraluminales, crioterapia sobre lesiones obstructivas) pueden hacer necesaria nuestra participación debido a la duración y complejidad de las intervenciones o a problemas particulares de cada paciente. Las ecobroncoscopias incluyen una serie de procedimientos novedosos y en auge, que tienen unas implicaciones anestésicas propias, entre otras, el hecho de compartir la vía aérea con el propio intervencionismo, la posibilidad de realizarse fuera del entorno del quirófano, y la elevada incidencia preoperatoria de problemas respiratorios específicos (hemoptisis, obstrucciones intrínsecas y extrínsecas de la vía aérea, patologías respiratorias crónicas). A continuación describimos el manejo anestésico de una serie de 9 pacientes en nuestro

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“…It is common for patients with less co-morbidities to be managed effectively using conscious sedation during these procedures, which can even be administered/directed by the interventionalist. However, many US and European medical centers have made it standard practice to have an anesthesiologist provide either sedation or general anesthesia to selected high risk patients undergoing IP procedures to safely manage them [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Supraglottic airway versus endotracheal tube during interventional pulmonary procedures – a retrospective study

Behrens

Galgon

2019

BMC Anesthesiol

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BackgroundAs the field of interventional pulmonology (IP) expands, anesthesia services are increasingly being utilized when complex procedures of longer duration are performed on sicker patients with high risk co-morbidities and lung pathology. Yet, evidence on the optimal anesthetic management for these patients remains lacking. Our aim was to characterize the airway management and, secondarily anesthetic maintenance patterns used for IP procedures at our institution.MethodsFrom 2894 identified encounters, charts of 783 patients undergoing an IP procedure with general anesthesia over a 5-year period, employing an endotracheal tube (ETT) or a supraglottic airway (SGA) for airway maintenance, were identified and reviewed after exclusions. Patients posted for a concurrent thoracic surgical procedure and those already intubated at presentation were excluded. Baseline patient demographics, procedure, proceduralist type, anesthesia maintenance modality, neuromuscular blocking drug (NMBD) use, and airway management characteristics were extracted and analyzed.ResultsInhaled general anesthesia with an ETT for airway maintenance was most commonly employed; however, SGAs were used in one-third of patients with a very low conversion rate (0.4%), and their use was associated with a significant reduction in NMBD use.ConclusionsIn this large series of patients receiving general anesthesia for IP procedures, inhaled anesthetic agents and ETTs were favored. However, in appropriately selected patients, SGA use was effective for airway maintenance and allowed for a reduction in NMBD use, which may have implications in this patient population who may have an increased risk for pulmonary complications and warrants further investigation.

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Anesthesia for Bronchoscopy

Cited by 21 publications

References 57 publications

Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience

Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience

Manejo anestésico para la realización de biopsias transbronquiales guiadas por ecobroncoscopía. Descripción de 9 casos y revisión de la literatura

Supraglottic airway versus endotracheal tube during interventional pulmonary procedures – a retrospective study

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