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Updated: Jun 7, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Anesthesia for Bronchoscopy-An Update.

Basavana Goudra1,2, Lalitha Sundararaman3, Prarthna Chandar2,4

  • 1Department of Anesthesiology and Perioperative Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.

Journal of Clinical Medicine
|November 9, 2024
PubMed
Summary
This summary is machine-generated.

Anesthesiologists must adapt anesthetic management for interventional pulmonology procedures. This review covers new techniques like navigational bronchoscopy and anesthetic strategies, including newer sedatives.

Keywords:
bronchoscopydexmedetomidineendobronchial valvenavigational bronchoscopyremimazolamthermoplasty

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Area of Science:

  • Anesthesiology
  • Interventional Pulmonology
  • Respiratory Medicine

Background:

  • Interventional pulmonology is a rapidly growing subspecialty with novel procedures.
  • These new procedures present unique anesthetic challenges requiring updated management strategies.

Purpose of the Study:

  • To review the pathophysiology, technical aspects, and anesthetic management of emerging interventional pulmonology procedures.
  • To discuss pre- and post-procedural considerations and challenges for anesthesiologists.

Main Methods:

  • Comprehensive literature review focusing on anesthetic management for navigational bronchoscopy, endobronchial valve deployment, and bronchial thermoplasty.
  • Discussion of anesthetic techniques, including total intravenous anesthesia, muscle relaxants (rocuronium), reversal agents (sugammadex), and conscious sedation agents (remimazolam, dexmedetomidine).

Main Results:

  • General anesthesia with endotracheal intubation is common; total intravenous anesthesia with rocuronium is standard US practice.
  • Sugammadex facilitates rocuronium reversal, reducing reliance on high-dose remifentanil.
  • Nebulized lidocaine and newer sedatives like remimazolam and dexmedetomidine show promise for conscious sedation.

Conclusions:

  • Anesthesiologists require specialized knowledge to manage patients undergoing interventional pulmonology procedures.
  • Current anesthetic practices are evolving with the introduction of new drugs and techniques, enhancing patient safety and procedural efficacy.