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Related Experiment Videos

Should patients undergoing a bronchoscopy be sedated?

R Gonzalez1, I De-La-Rosa-Ramirez, A Maldonado-Hernandez

  • 1Department of Anesthesia and Critical Care, Instituto Nacional de Ciencias Medicas y Nutricion, 'Salvador Subirán', Mexico City, Mexico.

Acta Anaesthesiologica Scandinavica
|April 16, 2003
PubMed
Summary

Sedation with propofol significantly improves patient tolerance during flexible fiberoptic bronchoscopy, reducing pain and cough. This approach enhances acceptance of future procedures and is safe with careful monitoring.

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Area of Science:

  • Pulmonology
  • Anesthesiology

Background:

  • Sedation techniques for flexible fiberoptic bronchoscopy (FFB) are debated, with some suggesting it's not routinely necessary.
  • This study investigates if propofol sedation enhances patient tolerance compared to local anesthesia alone.

Purpose of the Study:

  • To evaluate the impact of propofol sedation on patient tolerance during FFB.

Main Methods:

  • A randomized, single-blind, prospective study compared local anesthesia only versus local anesthesia with propofol sedation in 18 pneumonia patients undergoing FFB.
  • Patient-reported outcomes (pain, cough, asphyxiation, amnesia, tolerance) and vital signs were assessed.

Main Results:

  • The propofol sedation group reported significantly less cough, pain, and sensation of asphyxiation (P < 0.05).

Related Experiment Videos

  • Global tolerance and likelihood of accepting future procedures were significantly higher in the sedation group (P < 0.01).
  • Patients receiving sedation experienced total amnesia (P < 0.0001), while the non-sedation group showed increased heart rate and blood pressure.

    • Conclusions:

    • Propofol sedation, combined with local airway anesthesia, markedly improves patient tolerance to flexible fiberoptic bronchoscopy.
    • Sedation with propofol appears safe for FFB when patients are carefully selected and monitored.