Sedation in Bronchoscopy: A Review
AABIP IP Fellow Reading ListAnesthesia and Bronchoscopyhttps://www.ncbi.nlm.nih.gov/pubmed/29433726 Review Reference: Mccambridge AJ, Boesch RP, Mullon JJ. Sedation in Bronchoscopy: A Review. Clin Chest Med. 2018;39(1):65-77. Summary: Review of sedation techniques and medications for bronchoscopy. This includes pediatric bronchoscopy, flexible bronchoscopy, and rigid bronchoscopy Anesthesia and Upper and Lower Airway Management for Advanced Diagnostic and Therapeutic Bronchoscopy https://www.advancesinanesthesia.com/article/S0737-6146(14)00012-4/abstract Review Reference: Anesthesia and Upper and Lower Airway Management for Advanced Diagnostic and Therapeutic Bronchoscopy; Abdelmalak B, Sethi S and Gildea T. Advances in Anesthesia. 2014;32(1):71 – 87. Summary: A review of anesthesia considerations for advanced diagnostic and therapeutic bronchoscopic procedures by the Cleveland Clinic. Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience https://www.ncbi.nlm.nih.gov/pubmed/31463144 Review Reference: Galway U, Zura A, Khanna S, Wang M, Turan A, Ruetzler K. Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience. J Thorac Dis. 2019;11(7):3156-3170. Summary: An updated review of anesthesia considerations for advanced diagnostic and therapeutic bronchoscopic procedures by the Cleveland Clinic. Jet Ventilation during Rigid Bronchoscopy in Adults: A Focused Review https://www.ncbi.nlm.nih.gov/pubmed/27847813 Review Reference: Putz L, Mayné A, Dincq AS. Jet Ventilation during Rigid Bronchoscopy in Adults: A Focused Review. Biomed Res Int. 2016;2016:4234861. Summary: A review of the technique and requirements of jet ventilation during rigid bronchoscopy. A Randomized Trial of 1% vs 2% Lignocaine by the Spray-as-You-Go Technique for Topical Anesthesia During Flexible Bronchoscopy https://www.ncbi.nlm.nih.gov/pubmed/25811287 Clinical Trial Reference: Kaur H, Dhooria S, Aggarwal AN, Gupta D, Behera D, Agarwal R. A Randomized Trial of 1% vs 2% Lignocaine by the Spray-as-You-Go Technique for Topical Anesthesia During Flexible Bronchoscopy. Chest. 2015;148(3):739-745. Background: Prior to this article, there was no consensus on the use of 1% vs 2% lidocaine in flexible bronchoscopy. This was a single center randomized control trial comparing 1% vs 2% lidocaine. PICO: Populations:
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Take Home: 1% lidocaine should be used during flexible bronchoscopy. Dexmedetomidine-fentanyl versus propofol-fentanyl in flexible bronchoscopy: A randomized study https://www.ncbi.nlm.nih.gov/pubmed/27347086 Clinical Trial Reference: Yuan F, Fu H, Yang P, et al. Dexmedetomidine-fentanyl versus propofol-fentanyl in flexible bronchoscopy: A randomized study. Exp Ther Med. 2016;12(1):506-512. Background: General anesthesia or conscious sedation with opiates and benzodiazepines are generally standard of care, but dexmedetomidine has not been studied in this use. This study was done to determine if it could be an alternative. PICO: Populations:
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Take Home: Dexmedetomidine with fentanyl provided at least similar, if not superior results. Oxygen saturation was higher, but recovery was longer. The death of a healthy volunteer in a human research project: implications for Australian clinical research https://www.ncbi.nlm.nih.gov/pubmed/9612458 Landmark Article/Case Report Reference: Day RO, Chalmers DR, Williams KM, Campbell TJ. The death of a healthy volunteer in a human research project: implications for Australian clinical research. Med J Aust. 1998;168(9):449-51. Summary: This case report and review describes the background of one of the first deaths associated with lidocaine toxicity during bronchoscopy and the lessons learned from it. Methemoglobinemia in bronchoscopy: a case series and a review of the literature https://www.ncbi.nlm.nih.gov/pubmed/23857198 Case Report Reference: Brown C, Bowling M. Methemoglobinemia in bronchoscopy: a case series and a review of the literature. J Bronchology Interv Pulmonol. 2013;20(3):241-6. Summary: A case report and review of the literature of methemoglobinemia complicating bronchoscopy. |
