Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

作者：Goudra Basavana G^*; Singh Preet Mohinder; Borle Anuradha; Farid Nahla; Harris Kassem

来源：Lung, 2015, 193(4): 453-465.

DOI：10.1007/s00408-015-9733-7

• Anesthesia for bronchoscopy
• Sedation for bronchoscopy
• Sedation for interventional pulmonology
• Sedatives for bronchoscopy
• Ventilation during bronchoscopy

The bronchoscopic procedures have seen a remarkable increase in both numbers and complexity. Although many anesthesia providers have kept pace with the challenge, the practice is varied and frequently suboptimal. Shared airway during bronchoscopy poses unique challenges. The available reviews have tried to address this lacuna; however, these have frequently dealt with the technical aspects of bronchoscopy than anesthetic challenges. The present review provides evidence-based management insights into anesthesia for bronchoscopy-both flexible and rigid. A systematic approach toward pre-procedural evaluation and risk stratification is presented. The possible anatomical and physiological factors that can influence the outcomes are discussed. Pharmacological principles guiding sedation levels and appropriate selection of sedatives form the crux of safe anesthetic management. The newer and safer drugs that can have potential role in anesthesia for bronchoscopy in the near future are discussed. Ventilatory strategies during bronchoscopy for prevention of hypoxia and hypercarbia are emphasized.

• 出版日期2015-8
• 单位河北医科大学