Conscious Sedation During Bronchoscopy: How Far We’ve Come

Franzen, Daniel; Walder, Bernhard; Caduff, Christian; Hetzel, Jürgen

doi:10.1007/s13665-017-0193-9

Cited by 1 publication

(1 citation statement)

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“…Furthermore, the accuracy of diagnosis of both techniques was comparable. While previous literature suggests that moderate sedation generally offers better outcomes than deeper sedation, further analysis is needed to determine whether CS improves patient comfort compared with moderate anesthesia coverage during bronchoscopy [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Comparing Patient Comfort During Bronchoscopy Under Conscious Sedation and Monitored Anesthesia Care: A Prospective, Observational, Controlled Study

Hassan Kazmi,

Abbasi,

Mudassir

et al. 2024

Cureus

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Background: Flexible bronchoscopy (FB) often involves sedation, with the choice left to the bronchoscopist's discretion. Prior research on sedation in gastroscopic endoscopies yields conflicting information regarding the preferred method for FB. This study compares patient comfort levels during bronchoscopy with mindful sedation using fentanyl, nalbuphine, and midazolam versus monitored anesthesia care (MAC) using propofol, midazolam, and ketamine. Methods: This prospective observational study assessed 83 patients undergoing bronchoscopy under either conscious sedation (CS) (n=40) or MAC (n=43). Patient comfort, sedation levels, emotional state, recovery time, safety, and the impact of smoking history and comorbidities were evaluated. Data collection included direct patient questioning and observation using the Modified Observed Assessment of Alertness and Sedation (MOAA/S) form. Results: Comfort levels were similar between groups, with mean scores of 3.6±0.89 for CS and 3.3±0.54 for MAC. MAC induced deeper sedation (mean scores: 4.37±0.66 vs. 3.8±0.98). Recovery time and complications were comparable. Emotional states and medical history did not significantly differ between groups. Conclusion: CS is not inferior to MAC for bronchoscopy, providing comparable comfort and safety with less intense sedation and lower cost. These findings support the use of CS for bronchoscopy procedures, offering a cost-effective alternative without compromising patient comfort or safety.

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Section: Introductionmentioning

confidence: 99%