| Popis: |
Sedation improves patient and bronchoscopist’s satisfaction, allowing complex procedures to be performed satisfactorily with good tolerance. However, it requires specific training. Our center recently incorporated deep sedation (SP) with propofol (P) using TCI. We consider mandatory compare its safety profile with our gold standard -GS- until then (administration of P in continuous perfusion after induction with boluses) Observational study: Sample 1 (prospective cohort of 20 deep sedation bronchoscopies with TCI system) and sample 2 (retrospective cohort of 20 patients our GS in deep sedation). We analyzed: age, weight, total P dose, P mg/kg dose, vital sings derived from continuous cardio-respiratory monitoring and complications rate. A greater dose of total P and dose of P (mg/kg) in group 1 was observed, with a lower incidence of complications. (hypotension -fall ≥20% with respect to the initial systolic blood pressure (SBP)- and desaturations -drop ≥6% measured by pulse oximetry-). Table 1 • After an specific training, TCI system administered by a pulmonologist is a safe procedure • The total dose of P used and the dose (measured in mg / kg) was higher in sample 1, however it showed a better safety profile • Continuous monitoring is essential to avoid complications, due to the doctor who administers the SP must be in charge of reversing it. |
