Target-Controlled Versus Manually-Controlled Infusion of Propofol for Direct Laryngoscopy and Bronchoscopy

Passot, Sylvie; Servin, Frédérique; Allary, R.; Pascal, Jean; Prades, Jean-Michel; Auboyer, C.; Molliex, Serge

doi:10.1097/00000539-200205000-00030

Cited by 94 publications

(59 citation statements)

References 16 publications

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“…19 Contrary to the patients with respiratory depression in Group P, three patients in Group R with respiratory depression could be verbally stimulated by the anesthesiologist when oxygen saturation was decreasing. However, the higher PaCO 2 values in Group P compared to Group R are at variance with others studies, 15,17,[20][21][22] and can be explained by higher doses of propofol administered in our investigation. Blood gas disturbances at the end of the procedure could also be partially responsible for the prolonged recovery time observed in Group P, although average procedural and anesthetic times were comparable in the two groups.…”

Section: Discussioncontrasting

confidence: 87%

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Remifentanilversus propofol for radio frequency treatment of atrial flutter

Lena

Mariottini

Balarac

et al. 2006

Can J Anesth/J Can Anesth

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Section: Discussioncontrasting

confidence: 87%

“…**P < 0.01 T1 vs T2 for R and P. **P < 0.01 P vs R at T2. In Group P, agitation that could have hampered the procedure 15 was not observed at the achieved level of sedation. However, agitation has been reported by Newson et al 16 during mammary biopsy under propofol and local anesthesia.…”

Section: Discussionmentioning

confidence: 89%

Remifentanilversus propofol for radio frequency treatment of atrial flutter

Lena

Mariottini

Balarac

et al. 2006

Can J Anesth/J Can Anesth

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“…(17) When administered with a plasma target model, TCI could lead to more stable haemodynamic parameters. (18) Currently, most patients undergoing bronchoscopy receive MS with a different regimen than the one used in the present study. (2) It is difficult for anaesthesiologists and bronchoscopists to find a balance between MS and sufficient oxygenation due to individual differences among patients.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of target-controlled infusion of propofol and remifentanil with high frequency jet ventilation in fibre-optic bronchoscopy

Wang¹,

Yang²,

Zhang³

et al. 2013

smedj

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O r i g i n a l A r tic le 689 I NTRO D U C TIO NOf all endoscopic procedures, bronchoscopy without sedation might be one of the most painful and uncomfortable experiences. Therefore, unless absolute contraindications exist, sedation or anaesthesia is recommended for patients undergoing bronchoscopy.( Recently, propofol has proven effective during bronchoscopy, achieving similar results as the combined administration of midazolam and opiates in aspects such as sedation, amnesia and patient tolerance. (6) Moreover, propofol has the advantage of a shorter recovery time.(7-8)The widely used combination of either midazolam or propofol and opiates to achieve MS for bronchoscopy has been known to result in a high incidence (~30%-50%) of hypoxaemia (i.e. SpO 2 < 90%) and a relatively high cough score. (9 -11) However, the use of high frequency jet ventilation (HFJV) can provide adequate gas exchange, thus avoiding hypoxaemia without interfering with the manoeuvre of the bronchoscopist.HFJV has been successfully applied in rigid bronchoscopy and difficult airway intubation. (12)(13)(14) In light of this, the combination of general anaesthesia (GA) with HFJV might be a more acceptable regimen than conventional MS in bronchoscopy, especially with the former's lower incidence of hypoxaemia and lower cough score. To the best of our knowledge, there has been no published randomised controlled study comparing MS with GA achieved via target-controlled infusion (TCI) of propofol and remifentanil with HFJV, with respect to the incidence of oxygen desaturation, haemodynamic parameters, cough score, duration of bronchoscopy and patient satisfaction.

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“…33 In our patient the anesthetic protocol consisted of intravenous target-controlled infusion of propofol with opioid supplementation, with a low concentration of remifentanil to ensure spontaneous ventilation throughout the procedure. 34 Patients with large-airway obstruction may not be able to endure the supine position during anesthetic induction, so the induction is carried out with the patient semirecumbent. Once the patient loses consciousness, he is positioned supine and the rigid bronchoscope is introduced.…”

Section: Discussionmentioning

confidence: 99%

Tracheal Glomus Tumor: A Multidisciplinary Approach to Management

Sakr¹,

Palaniappan²,

Payan³

et al. 2011

Respir Care

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A 66-year-old man presented with acute respiratory distress due to a tracheal tumor involving the posterior wall of the upper trachea, with nearly complete airway obstruction. Partial debulking of the tumor's endoluminal component, via rigid bronchoscopy and yttrium-aluminum-perovskite laser, allowed timely and effective airway restoration. The diagnosis was benign tracheal glomus tumor. Two weeks later, elective tracheal sleeve resection with end-to-end anastomosis allowed complete resection of the lesion. No tumor recurrence was found at 21-month follow-up. We describe the multidisciplinary management of this extremely rare tracheal tumor, and review its features.

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Target-Controlled Versus Manually-Controlled Infusion of Propofol for Direct Laryngoscopy and Bronchoscopy

Cited by 94 publications

References 16 publications

Remifentanilversus propofol for radio frequency treatment of atrial flutter

Remifentanilversus propofol for radio frequency treatment of atrial flutter

Efficacy of target-controlled infusion of propofol and remifentanil with high frequency jet ventilation in fibre-optic bronchoscopy

Tracheal Glomus Tumor: A Multidisciplinary Approach to Management

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