High‐risk respiratory patients' experiences of bronchoscopy with conscious sedation and analgesia: A qualitative study

Abstract

These findings have implications for patient preparation pre- and post-bronchoscopy in terms of what they might expect, and to discuss what has happened after the procedure. Some practices of the bronchoscopy team during the procedure may need modification. For example, in anticipation of the possibility that the patient may be aware, healthcare professionals should provide patient-focused explanations of what is happening during the procedure, as well as providing ongoing reassurance that everything is going as planned.

Nurses should inform patients of the possibility of awareness during bronchoscopy performed with procedural sedation

“…Finally, the starkly clear findings of recall of distress and discomfort uncovered by Saxon et al ’s3 study serve as a timely reminder that regularly tracking the quality of sedation regimens is needed to optimise patient outcomes. Fortunately, the Tracking and Reporting Outcomes of Procedural Sedation quality improvement tool provides a standardised method for sedation providers to monitor the efficacy of sedation that can be easily incorporated into everyday practice 6…”

The Efficacy and Safety of Remimazolam Tosilate Versus Dexmedetomidine in Outpatients Undergoing Flexible Bronchoscopy: A Prospective, Randomized, Blind, Non-Inferiority Trial

“…Therefore, it is vital to maintain oxygenation via the open, flexible bronchoscope, which may also depend to a significant degree on staff expertise and equipment availability. The Australian and New Zealand College of Anesthetists guidelines recommend that sedatives and analgesics should be used at the minimum dose required for patient comfort, especially for patients with higher risk of respiratory complications such as those with COPD ( Saxon et al, 2018 ). We excluded patients with COPD, respiratory failure, and asthma from our study based on consideration for the lack of clinical experience of RT and the safety of outpatients, even though these cases are often encountered in FB.…”