Out of Operating Room Anesthesia pp 131-143 | Cite as
Anesthesia for Bronchoscopy
Abstract
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Diagnostic flexible bronchoscopic procedures, such as airway exam, bronchoalveolar lavage, and Transbronchial biopsies (TBBX), are commonly performed under moderate sedation (Wahidi et al., Chest 140(5):1342–1350, 2011).
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Advanced diagnostic bronchoscopic procedure, namely Endobronchial ultrasound fine needle aspiration (EBUS-FNA), can be performed under moderate sedation or general anesthesia. The choice of anesthesia technique is based on the patient’s tolerance, co-morbidities, expected duration of the procedure, and the skills of bronchoscopist (Casal et al., Am J Respir Crit Care Med 191(7):796–803, 2015).
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Therapeutic bronchoscopic procedures such as debulking of central airway tumors, management of hemoptysis, and stenting of the central airway are generally performed through the rigid bronchoscope under general anesthesia. Minor therapeutic procedures can be performed through the flexible bronchoscope under moderate sedation (Sarkiss, Curr Opin Pulm Med 17(4):274–278, 2011).
Keywords
Flexible bronchoscopy Rigid bronchoscopy Endobronchial ultrasound Jet ventilation Total intravenous anesthesia Laryngeal mask airwayReferences
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