Hautmann H, Eberhardt R, Heine R, Herth F, Hetzel J, Hetzel M, Reichle G, Schmidt B, Stanzel F, Wagner M
Medizinische Klinik und Poliklinik, Pneumologie, Klinikum rechts der Isar, Technische Universität München.
Pneumologie. 2011 Nov;65(11):647-52. doi: 10.1055/s-0031-1291395. Epub 2011 Nov 14.
Flexible bronchoscopy is a standard examination today and is conducted not only in nearly every hospital but also in privately owned practices. The vast majority of patients want sedation for this examination. Such a procedure is nearly always necessary in complex and interventional procedures, irrespective of the patient's wish. The recommendation at hand to use sedation measures for flexible bronchoscopy is based on the results of numerous clinical studies and also takes account of individual experiences in this area. The structural and procedural requirements and the requirements for staff training are defined and should describe the minimum standard when it comes to conducting a bronchoscopy under sedation. Furthermore the drugs recommended for sedation are discussed and their methods of application shown. Finally the recommendations also include suggestions for patient clarification, monitoring and discharge. They should provide the examiner with concrete operating options and therefore above all increase patient safety.
如今,可弯曲支气管镜检查是一项标准检查,不仅几乎每家医院都开展,私人诊所也会进行。绝大多数患者希望在该项检查时接受镇静。在复杂和介入性操作中,无论患者意愿如何,几乎总是需要进行这样的操作。目前关于在可弯曲支气管镜检查中使用镇静措施的建议是基于众多临床研究的结果,并考虑了该领域的个人经验。明确了结构和程序要求以及工作人员培训要求,这些要求应描述在镇静下进行支气管镜检查的最低标准。此外,还讨论了推荐用于镇静的药物及其应用方法。最后,这些建议还包括患者说明、监测和出院方面的建议。它们应为检查者提供具体的操作选项,因此最重要的是提高患者安全性。