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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Updated: Jun 29, 2025

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Patient experience with bronchoscopy: topical versus monitored anesthesia.

Chun-Ta Huang1,2, Rou-Jun Chou3, Geng-Ning Hu4

  • 1Department of Internal Medicine, National Taiwan University Hospital, No. 7 Chung-Shan South Rd, Taipei 100, Taipei, Taiwan.

BMC Pulmonary Medicine
|April 4, 2024
PubMed
Summary

Monitored anesthesia care (MA) provides better patient satisfaction during bronchoscopy. However, topical anesthesia (TA) alone may suffice for less invasive procedures, especially in resource-limited settings.

Keywords:
AnesthesiaBronchoscopyComplicationSatisfactionVisual analogue scale

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Area of Science:

  • Pulmonology
  • Anesthesiology
  • Patient Experience Research

Background:

  • Bronchoscopy is a common procedure with varying anesthesia approaches.
  • Patient experience and satisfaction are crucial metrics for procedural success.
  • Resource limitations may necessitate alternative anesthesia strategies.

Purpose of the Study:

  • To compare patient experiences between topical anesthesia (TA) and monitored anesthesia care (MA) during bronchoscopy.
  • To determine if TA alone can achieve comparable patient tolerance and satisfaction to MA.
  • To identify specific conditions where TA is a viable alternative, particularly in resource-limited settings.

Main Methods:

  • A comparative study of patients undergoing bronchoscopy with TA or MA.
  • Data collection included demographics, procedure details, and complications.
  • Patient satisfaction was assessed using a quality assurance survey.
  • Subgroup analyses were conducted based on procedure invasiveness and duration.

Main Results:

  • 350 patients were enrolled (TA: 251, MA: 99).
  • Monitored anesthesia care (MA) procedures were significantly longer (31 min vs. 16 min for TA).
  • Overall patient satisfaction was higher with MA (VAS 8.9 vs. 8.2).
  • For less invasive or shorter procedures, TA yielded comparable tolerance and satisfaction to MA.

Conclusions:

  • Monitored anesthesia care (MA) generally enhances patient experience and satisfaction during bronchoscopy.
  • Topical anesthesia (TA) alone can be a suitable alternative for less invasive or shorter bronchoscopy procedures.
  • TA may be a valuable option in resource-limited settings to maintain patient comfort and satisfaction.