Anesthesia for Interventional Bronchoscopic Procedures

Sarkiss, Mona

doi:10.1007/978-1-4614-6009-1_4

Cited by 4 publications

(10 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2. Второй исторический период начинается в 1956 г., когда H. Friedel сконструировал ригидный бронхоскоп для выполнения эндоскопического исследования под наркозом с искусственной вентиляцией легких [8,9]. Ригидный бронхоскоп H. Friedel используется для выполнения эндоскопических операций в большинстве ведущих клиник мира до настоящего времени.…”

unclassified

“…Началом третьего, современного этапа в развитии бронхоскопии связано с именем S. Ikeda, который разработал гибкий бронхоскоп и первым выполнил бронхофиброскопию в 1968 г. [8,9]. Изобретение S. Ikeda бронхофиброскопа расширило возможности как диагностической, так и лечебной бронхоскопии.…”

unclassified

“…Изобретение S. Ikeda бронхофиброскопа расширило возможности как диагностической, так и лечебной бронхоскопии. Стал возможным осмотр бронхов до VI порядка, используя местную анестезию [9,10]. Один из недостатков бронхофиброскопов -это частое разрушение оптического фиброволокна при сильном сдавливании или перегибе.…”

unclassified

“…Один из недостатков бронхофиброскопов -это частое разрушение оптического фиброволокна при сильном сдавливании или перегибе. Дальнейшее совершенствование гибкой эндоскопии было связано с созданием в 1984 г. в США первых видеоэндоскопов [8][9][10]. Благодаря использованию миниатюрных встроенных цифровых видеокамер и системы линз стало возможным получить высококачественное изображение с увеличением до 100 раз [9,10].…”

unclassified

“…Дальнейшее совершенствование гибкой эндоскопии было связано с созданием в 1984 г. в США первых видеоэндоскопов [8][9][10]. Благодаря использованию миниатюрных встроенных цифровых видеокамер и системы линз стало возможным получить высококачественное изображение с увеличением до 100 раз [9,10]. Сегодня в ряде ведущих клиник используются видеобронхоскопы с высоким разрешением (WLI-HD), которые были созданы в 2005-2007 гг., и позволяют визуализировать эндоскопическое изображение более высокой четкости (1920•1080 точек на дюйм), чем при эндоскопии стандартного разрешения 720•576 точек на дюйм [11].…”

unclassified

See 4 more Smart Citations

Current possibilities of bronchoscopic diagnosis of the latent forms of early central lung cancer, by using endomicroscopy techniques

Соколов¹,

Соколов²,

Пирогов³

et al. 2017

Onkol. Z. im. P.A. Gercena

View full text Add to dashboard Cite

Московский научно-исследовательский онкологический институт им. П.А. Герцена-филиал ФБГУ «Национальный медицинский исследовательский радиологический центр» (дир.-чл.-корр. РАН А.Д. Каприн) Минздрава России, Москва, Россия В статье описана история развития эндоскопических методов диагностики раннего центрального рака легкого. Представлены современные методики мультимодальной диагностики, включая конфокальную лазерную эндомикроскопию и эндоцитоскопию, которые позволяют не только выявлять очаги внутрислизистого рака трахеобронхиального дерева, но и проводить прижизненное морфологическое исследование на клеточном уровне. Представлен многолетний клинический опыт диагностики МНИОИ им. П.А. Герцена раннего центрального рака легкого и пилотные исследования по оценке возможностей конфокальной лазерной эндомикроскопии и эндоцитоскопии в онкобронхологии. Ключевые слова: конфокальная лазерная эндомикроскопия, эндоцитоскопия, ранний центральный рак легкого, мультимодальная видеобронхоскопия.

show abstract

unclassified

See 3 more Smart Citations

Current possibilities of bronchoscopic diagnosis of the latent forms of early central lung cancer, by using endomicroscopy techniques

Соколов¹,

Соколов²,

Пирогов³

et al. 2017

Onkol. Z. im. P.A. Gercena

View full text Add to dashboard Cite

show abstract

Inhibition of Stress and Spontaneous Respiration: Efficacy and Safety of Monitored Anaesthesia Care by Remifentanil in Fibreoptic Bronchoscopy for Patients with Severe Tracheal Stenosis

Zhou

Zhu

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective To determine the effective concentration of target-controlled infusion (TCI) of remifentanil used to inhibit stress during the treatment of severe tracheal stenosis with fibreoptic bronchoscopy and to evaluate the safety of the monitored anaesthesia care (MAC) by remifentanil.Methods A study of 60 patients with severe tracheal stenosis who underwent diagnostic and therapeutic fibreoptic bronchoscopy at Shanghai Pulmonary Hospital affiliated with Tongji University was performed. Dexmedetomidine was initially administered at a bolus dose (0.8 mcg/kg), followed by a 0.5 mcg/(kg·h) continuous infusion. Remifentanil was administered by TCI. When the target concentration was reached, the nasopharyngeal airway was inserted, and then oxygen was supplied by a connected anaesthesia machine. The effective concentration of remifentanil was titrated by the improved sequential method, and 30 patients were included. The EC95 of remifentanil was set as the plasma target concentration to evaluate the safety of the MAC, and another 30 patients were included. Remedy measures: Propofol (10-20 mg) was injected intravenously. The primary outcome measures were the cough score and the incidence and severity of hypoxemia. The tolerance score for nasopharyngeal airway placement, Ramsay sedation score, haemodynamic changes, satisfaction score, patients’ 24 h recall score, patients’ willingness to re-receive the procedure, and related adverse events were recorded.Results On the basis of sedation with dexmedetomidine, the EC95 of remifentanil for inhibiting the stress response in fibreoptic bronchoscopy performed on patients with severe tracheal stenosis was 2.710 ng/ml (95% CI, 2.471-4.473 ng/ml), and the EC50 was 2.243 ng/ml (95% CI, 2.061-2.446 ng/ml). Among the 30 patients who received an EC95 of remifentanil as the target concentration, 1 patient was remedied by injecting propofol; the tolerance score for insertion of the nasopharyngeal airway was 2, the score of Ramsay sedation was 3, and the cough score was 1. The incidence of respiratory depression was 50%, the incidence of hypoxemia was 20%, and 86.7% of patients with respiratory depression returned to normal by awakening. One patient returned to normal by mask-assisted ventilation, and another returned to normal by laryngeal mask mechanical ventilation. The satisfaction score of the operator was 9, the satisfaction score of the anaesthesiologist was 8, the satisfaction score of the patients was 10, the score of the patients' 24 h operative recall was 1, the rate of patient willingness to re-accept the procedure was 93.3%, the incidence of throat pain at 30 min after the end of the operation was 16.7%, and the circulation was stable during the operation. No pruritus, nausea, vomiting or other related adverse reactions were reported.Conclusion MAC using TCI of remifentanil can effectively inhibit the stress response to fibreoptic bronchoscopy in patients with severe tracheal stenosis while maintaining spontaneous breathing. The patients are safe and comfortable and express high satisfaction, making this method worthy of clinical application.Trial registration Registration date : 12/02/2021, Registration number: ChiCTR2100043380.

show abstract

Pulmonologist’s Satisfaction With the Use of I-Gel Laryngeal Mask Airway (Lma) for Bronchoscopy in Dr. Wahidin Sudirohusodo Makassar Central General Hospital

Juliansyah,

Nurdin,

Arif

et al. 2024

eum

View full text Add to dashboard Cite

Bronchoscopy is a type of endoscope used to examine internal organs in the body. This examination is performed by competent physicians, by examining the bronchi or the branches for diagnostic or therapeutic purposes. The use of the LMA for airway management during Fiberoptic Flexible Bronchoscopy (FFB) was first introduced in 1989 and was described as a safe and favorable tool for airway control during bronchoscopy in both adult and pediatric populations. The advantage of an LMA over an endotracheal tube is that it is equipped with a larger diameter tube, allowing for better visibility and flexibility. The I-gel LMA is the most frequently used type of LMA. This study aimed to determine the satisfaction of pulmonologists with the use of LMA I-gel when performing bronchoscopy in Dr. Wahidin Sudirohusodo Central General Hospital Makassar. The research employed probability sampling with an experimental design, using questionnaires for data collection. There were 36 patients underwent bronchoscopy from June ? December 2023. Demographic data were collected (age, sex, body mass index, and American Society of Anesthesiologists physical status), assessment based on the first successful attempt of fiberoptic insertion with a value of p = 0,06, quality of visualization, flexibility of the scope, size of the fiberoptic that can be used, and limitations of performance during bronchoscopy with a value of p < 0,05. It was found that pulmonologists were satisfied with the use of I-gel LMA during bronchoscopy. However, this result was also influenced by the experience of pulmonologists in performing the procedure. Keywords: Bronchoscopy, LMA I-gel, Satisfaction

show abstract

Anesthesia for Interventional Bronchoscopic Procedures

Cited by 4 publications

References 36 publications

Current possibilities of bronchoscopic diagnosis of the latent forms of early central lung cancer, by using endomicroscopy techniques

Current possibilities of bronchoscopic diagnosis of the latent forms of early central lung cancer, by using endomicroscopy techniques

Inhibition of Stress and Spontaneous Respiration: Efficacy and Safety of Monitored Anaesthesia Care by Remifentanil in Fibreoptic Bronchoscopy for Patients with Severe Tracheal Stenosis

Pulmonologist’s Satisfaction With the Use of I-Gel Laryngeal Mask Airway (Lma) for Bronchoscopy in Dr. Wahidin Sudirohusodo Makassar Central General Hospital

Contact Info

Product

Resources

About