Anaesthesia for Bronchoscopy- A Review Article
Keywords:
Anaesthesia, Bronchoscopy, Conscious sedation, DexmedetomidineAbstract
Bronchoscopy as an investigation or therapeutic procedure demands anaesthesiologist act accordingly. The present review will take the reader from rigid to fibreoptic flexible bronchoscopy. These procedures are now done as day care procedures in the operation theatre or in critical care units. Advantages and limitations of both rigid and flexible bronchoscopy are analysed. Recently, conscious sedation has come up as the commonly used anaesthetic technique for simple bronchoscopic procedures. However, general anaesthesia till remains a standard technique for more complex procedures. New advances in the field of anaesthesiology such as use of short acting opioids, use of newer drugs such as dexmedetomidine, supraglottic airways and mechanical jet ventilators have facilitated and eased the conduct of the procedure.
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References
Killian G. Ueber directe bronchoscopie . MMW 1898;27:844-7.
Clerf LH. Historical aspects of foreign bodies in the air and food passages. South med J 1975;68:1449-54.
Zaytoun GM, Rouadi PW, Baki. DH. endoscopic management of foreign bodies in the tracheobronchial treee: predictive factors for complications. Otolaryngol Head Neck Surg 2000;123:311-6
Jackson C. The Life of Chevalier Jackson : An Autobiography. Newyork:Macmillian ;1938.
Jackson C. Foreign Bodies in the air and food passages. Charted Experiences in cases from no. 631 to no. 1155 at the broncoscopic clinic. New Bedford : Reynolds the printer; 1923.
Wahidi MM, herth FJ, ernst A. State of the art: Interventional pulmonary. Chest 2007; 131 : 261-74
Beamis JF jr. Rigid broncoscopy. In:Beamis JF, mathur PM, editors. Interventional pulmonary. New York:McGraw-Hill; 1999.p. 17-28.
Stolz D, Pollak V, Chhajed PN, Gysin C, Pflimlin E, Tamm M. A randomized, Placebo controlled trial of bronchodialators for broncoscopy in patients with COPD. Chest 2007;131:765-72.
Mellin-Olsen J, Staender S, whitaker DK, smith AF. the Helsinki declaration on patient safety in anaesthesiology. Eur J Anaesthesiol 2010;27:592-7.
Perrin G, Colt HG, martin C, Mak MA, dumon JF, gouin F. Safety of Interventional rigid broncoscopy using intravenous anesthesia and spontaneous assisted ventilation. A prospective study. Chest 1992;102:1526-30.
Sanders R. Two ventilating attachments for btonchoscopes. Del Med J 1967;39:170-92 .
Sullivan MT, neff WB. A modified sanders ventilating system fir rigid-wall bronchoscopy. Anesthesiology 1979;50:473-4.
Estanfanous F, Barash P, Reves J. Cardiac Anesthesia :Principles and clinical Practice. 2 nd ed. New York: Lippincott Williams and Winkins; 2001.p.752-4
Giunta F, Chiaranda M, Manani G, Giron GP. clinical uses of high frequency jet ventilation in anaesthesia. Br J Anaestg 1989;63 7 suppl 1:102S-6S.
Magee MJ, Klain M, Ferson PF, keenan RJ, landeeneau RJ. nasotracheal jet ventilation for rigid endoscopy. Ann thorac surg 1994;57:1031-2.
Shoefer S, Wahidi M, Welsby I. Therapeutic bronchoscopy, airway stents and other closed thorax pracedures. In: Barbeito A, Shaw A, Grinchnik K, editors. Thoracic Anaesthesia. New York:McGraw Hill/Lang;2012.p.191-216.
Macintyre NR. high-frequency ventilation. In: Maclntyre NR, branson RD, editors . Mechanical Ventilation. Philadelphia : WB saunders;2001.
Carlon GC, miodownik S, Ray C jr, Kahn RC. technical aspects and clinical implications of high frequency jet ventilation with a solenoid valve. Crit care Med 1981;9:47-50.
Bunnell JB. High frequency hardware: Implementation of the latest mode of respiratory therapy. Med instrum 1985;19:208-16.
Ereando CL, sigl JC, Robles M, Calabuig E, Garcia J, Arocas F, et al. Awareness with recall during general anesthesia : a prospective observational evaluation of 4001 patients. Br J anaesth 2008;101:178-85.
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