Journal article
Anesthesia for Bronchoscopy—An Update
Journal of clinical medicine, v 13(21), 6471
29 Oct 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Anesthesia for Bronchoscopy—An Update
- Creators
- Basavana Goudra - Thomas Jefferson UniversityLalitha Sundararaman - Brigham and Women's HospitalPrarthna Chandar - Sidney Kimmel Cancer CenterMichael Green - Thomas Jefferson University
- Publication Details
- Journal of clinical medicine, v 13(21), 6471
- Publisher
- MDPI
- Number of pages
- 24
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems; Anesthesiology and Perioperative Medicine
- Web of Science ID
- WOS:001351272200001
- Scopus ID
- 2-s2.0-85208474801
- Other Identifier
- 991021932802604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Respiratory System