The haemodynamic effects of bronchoscopy Comparison of propofol and thiopentone with and without alfentanil pretreatment

Abstract

SummaryThe

Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study

“…First, postoperative electrocardiography monitoring was not included in the study design, and could have added further information on cardiac adverse events (such as ST elevations) related to the procedure. Although it is still untimely to be considered indicative of cardiac ischemia, 20 it could be interesting to analyze as parameter of hemodynamics. Unfortunately, the study setting did not allow this kind examination to be extended to all patients during recovery room assistance time.…”

Comparison of propofol and the combination of propofol and alfentanil during bronchoscopy: a randomized study

“…As yet, the advantages and disadvantages of the addition of the opioid to propofol during the bronchoscopic procedure have not been investigated. Alfentanil is one of the most commonly used opioids during the bronchoscopic procedure 10,12,14–15,23–25 . Thus, to assess the effect of the addition of an opioid to propofol, we performed a prospective double‐blind randomized‐controlled study to compare the effect of the addition of alfentanil to propofol in terms of the degree of hypoxaemia, sedation quality, and cough suppression.…”

A dose study of remifentanil in combination with propofol during tracheobronchial foreign body removal in children

“…As rigid bronchoscopy results in greater airway stimulation and often takes more time than flexible bronchoscopy, the procedure requires a deeper level of anesthesia. Rigid bronchoscopy causes a similar hemodynamic response to that of laryngoscopy and tracheal intubation, with the stimulations being greater and the duration longer [3]. In previous studies, TIVA with 0.1 μg/kg/min remifentanil and propofol infusions was associated with a high incidence of breath-holding, desaturation (SpO 2 ), and excitement, possibly related to insufficient doses of remifentanil [4,5].…”