Effectiveness of nebulized dexmedetomidine as a premedication in flexible bronchoscopy in Indian patients -a prospective, randomized, double-blinded study

Antony, Thomas; Acharya, Vishak; Acharya, Preetam Rajgopal

doi:10.1016/j.conctc.2023.101111

Contemporary Clinical Trials Communications

2023

DOI: 10.1016/j.conctc.2023.101111

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Effectiveness of nebulized dexmedetomidine as a premedication in flexible bronchoscopy in Indian patients -a prospective, randomized, double-blinded study

Thomas Antony¹,

Vishak Acharya²,

Preetam Rajgopal Acharya³

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2024

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Cited by 1 publication

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Anesthesia for Bronchoscopy—An Update

Goudra,

Sundararaman,

Chandar

et al. 2024

JCM

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The field of interventional pulmonology has grown immensely and is increasingly recognized as a subspecialty. The new procedures introduced in the last decade pose unique challenges, and anesthesiologists need to readapt to their specific demands. In this review, we extensively discuss the pathophysiology, technical aspects, preprocedural preparation, anesthetic management, and postprocedural challenges of many new procedures such as navigational bronchoscopy, endobronchial valve deployment, and bronchial thermoplasty. Majority of these procedures are performed under general anesthesia with an endotracheal tube. Total intravenous anesthesia with rocuronium as a muscle relaxant seems to be the standard US practice. The easy availability and proven safety and efficacy of sugammadex as a reversal agent of rocuronium has decreased the need for high-dose remifentanil as an agent to avoid muscle relaxants. Additional research is available with regard to the utility of nebulized lidocaine and is discussed. Finally, two newer drugs administered for conscious sedation (typically without the need of an anesthesiologist) are likely to gain popularity in the future. Remimazolam is a new short-acting benzodiazepine with a relatively faster offset of clinical effects. Dexmedetomidine, a selective adrenergic agonist, is increasingly employed in bronchoscopy as a sedative during bronchoscopic procedures.

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Anesthesia for Bronchoscopy—An Update

Goudra,

Sundararaman,

Chandar

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

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Effectiveness of nebulized dexmedetomidine as a premedication in flexible bronchoscopy in Indian patients -a prospective, randomized, double-blinded study

Cited by 1 publication

References 18 publications

Anesthesia for Bronchoscopy—An Update

Anesthesia for Bronchoscopy—An Update

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