Endobronchial Ultrasound under Moderate Sedation versus General Anesthesia
Autor: | Vanessa F Santos, Maria Gabriela O Fernandes, António Bugalho, Madalena M Passos, Maria Manuel Marques, Adriana Magalhães, Natália Martins, M. Sucena |
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Rok vydání: | 2018 |
Předmět: |
Bronchoscopist
diagnosis Sedation Conscious Sedation lcsh:Medicine Hemodynamics Anesthesia General Article Endosonography endobronchial ultrasound 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine 030212 general & internal medicine Adverse effect Anestesia Geral Neuromuscular Blockade business.industry lcsh:R Sedação Consciente staging General Medicine general anesthesia 3. Good health sedation Endossonografia 030228 respiratory system Anesthesia Anesthetic Lung cancer staging medicine.symptom business medicine.drug |
Zdroj: | Journal of Clinical Medicine Volume 7 Issue 11 Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP Journal of Clinical Medicine, Vol 7, Iss 11, p 421 (2018) |
ISSN: | 2077-0383 |
Popis: | Background: Different anesthetic protocols may influence endobronchial ultrasound-guided needle aspiration (EBUS-TBNA) outcomes, patient comfort, and even safety. In this study, two anesthesia techniques were assessed and compared for EBUS-TBNA. Methods: A prospective, multicenter study was carried out. Patients were allocated to Group 1 (general anesthesia with neuromuscular blockade and controlled ventilation) and Group 2 (intravenous sedation). EBUS-TBNA accuracy was the primary outcome. Safety, patient comfort and satisfaction, and operators&rsquo difficulties were defined as secondary outcomes. Results: Of the 115 patients enrolled (Group 1 = 59, Group 2 = 56), EBUS-TBNA was performed for hilar or mediastinal lesion diagnosis and lung cancer staging in, respectively, 77 (67%) and 38 (33%) patients. The numbers of lymph nodes stations (1.8 ± 1.0 vs. 1.7 ± 1.0, p = 0.472) and punctures per station (6.9 ± 3.1 vs. 6.0 ± 2.5, p = 0.084) were similar between groups. Adequate samples were obtained from 109 patients (97.3%) with similar diagnostic accuracy. Procedure duration was not significantly different (p = 0.348). Hemodynamic parameters and systolic and diastolic blood pressures were higher in Group 1 at the beginning and at the end of the procedure. Adverse events were equally distributed, and no significant differences were found regarding patient satisfaction and bronchoscopist/anesthesiologist difficulties. Conclusions: The type of anesthesia used did not influence EBUS-TBNA outcomes. EBUS-TBNA performed under sedation or general anesthesia did not affect the diagnostic yield, complication rate, and patients&rsquo comfort and satisfaction. |
Databáze: | OpenAIRE |
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