Bronchoscopic Procedures

Anaesthetic Management of Rigid Bronchoscopic Guided Removal of Endobronchial Tumour: A Case Series

“…Assessment of range of neck extension in an awake patient helps us understand the allowable limit so as to avoid any cervical spine injury [2]. Preoperative sedation was avoided to prevent any hypoventilation.…”

“…Preoperative sedation was avoided to prevent any hypoventilation. There are different methods of ventilation through rigid bronchoscope including side-port ventilation, intermittent apnoea and ventilation, jet ventilation techniques, etc [2]. In both the cases we adopted for hand ventilation via side port as it gives us better judgement of ventilation in the absence of End tidal carbon dioxide (ETtCO 2 ).…”

“…In both the cases we adopted for hand ventilation via side port as it gives us better judgement of ventilation in the absence of End tidal carbon dioxide (ETtCO 2 ). Total intravenous anesthesia (TIVA) was used with propofol in both cases to avoid OT pollution, wastage of anesthetic gases and to maintain steady depth of anesthesia [2]. BIS was used in both the cases for depth of anaesthesia monitoring [2].…”

“…Bronchial neoplasms are difficult to treat and can cause hypoxia, haemoptysis or post-obstructive pneumonia [1,2]. In such a case, bronchoscopic surgery is a safe and effective treatment modality [3][4][5][6].…”

“…We discuss anesthetic management of two cases of endobronchial growth which was removed using rigid bronchoscope aided by electrocautery and cryoprobe [8,9]. Use of newer equipments with rigid bronchoscope poses specific challenges which need special precautions as they may be unfamiliar [2]. of procedure.…”