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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Apr 8, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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[Monitored Anesthesia Care for Respiratory Endoscopy].

Tomonori Sugawara, Toshihiro Takeda, Gotaro Shirakami

    Masui. the Japanese Journal of Anesthesiology
    |July 1, 2015
    PubMed
    Summary

    Anesthesiologists should train non-specialists in sedation and analgesia for respiratory endoscopy. This improves patient safety and satisfaction during procedures, especially for complex interventional cases.

    Area of Science:

    • Anesthesiology
    • Pulmonology
    • Medical Education

    Context:

    • Respiratory endoscopy procedures necessitate sedation and/or analgesia to manage patient anxiety, discomfort, and pain.
    • Currently, most diagnostic respiratory endoscopy in Japan occurs outside operating rooms, often without anesthesiologist involvement.
    • Inadequate sedation or analgesia poses risks of patient discomfort and serious injury.

    Purpose:

    • To highlight the critical role of anesthesiologists in sedation and analgesia for respiratory endoscopy.
    • To advocate for anesthesiologist-led education and training for non-anesthesiologists performing these procedures.
    • To emphasize the need for improved peri-procedure management, particularly for interventional endoscopy.

    Summary:

    • Sedation and analgesia are crucial for patient comfort and safety during respiratory endoscopy.

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  • Anesthesiologist involvement in training non-specialists can enhance patient satisfaction and procedural safety.
  • Interventional endoscopy, with its higher risks, necessitates specialized peri-procedure management.

    • Impact:

    • Increased patient satisfaction and safety in respiratory endoscopy procedures.
    • Potential reduction in adverse events associated with inadequate sedation or analgesia.
    • Growing importance of anesthesiologist-guided care, including monitored anesthesia care, for interventional procedures and high-risk patients.