Sedation for advanced procedures in the bronchoscopy suite
| Autor: | Thoralf Kerner, Michael Kern, Sascha Tank |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Sedation Conscious Sedation MEDLINE Intravenous sedation Propofol sedation 03 medical and health sciences Patient safety 0302 clinical medicine Bronchoscopy Humans Medicine Anesthesia 030212 general & internal medicine Intensive care medicine medicine.diagnostic_test business.industry Guideline Anesthesiologists Anesthesiology and Pain Medicine 030228 respiratory system Patient Safety Deep Sedation Level of care medicine.symptom business |
| Zdroj: | Current Opinion in Anaesthesiology. 30:490-495 |
| ISSN: | 0952-7907 |
| DOI: | 10.1097/aco.0000000000000483 |
| Popis: | Purpose of review This article focuses on the issue of sedation provided either by proceduralists or anesthesiologists for advanced bronchoscopy procedures. The relative merits of both approaches are presented. Current evidence from the literature and guideline recommendations relevant to this topic are reviewed. Recent findings In general, patient and proceduralist satisfaction as well as patient safety are increased when intravenous sedation is provided for advanced bronchoscopic procedures. However, guidelines by various societies remain vague on defining the appropriate level of care required when providing sedation for these procedures. In addition, targeted depth of sedation varies considerably among practitioners. While in some settings, nonanesthesiologist-administered propofol sedation has been proven safe; nevertheless, its use is controversial, especially in the bronchoscopy suite. Summary The role of the anesthesiologist in sedation for advanced bronchoscopy remains undefined. When deep sedation for prolonged interventional procedures is needed or when dealing with patients who have multiple comorbidities, an anesthesiologist should be involved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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