支气管镜检查的麻醉
Anesthesia for bronchoscopy.
作者信息
José Ricardo J, Shaefi Shahzad, Navani Neal
机构信息
aDepartment of Thoracic Medicine, University College Hospital, London, UK bCentre for Inflammation and Tissue Repair, University College London, London, UK cDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA dLungs for Living Research Centre, University College London, London, UK.
出版信息
Curr Opin Anaesthesiol. 2014 Aug;27(4):453-7. doi: 10.1097/ACO.0000000000000087.
PURPOSE OF REVIEW
To discuss the recent advances in sedation and anesthesia for the practice of both flexible and rigid bronchoscopy, which are increasingly performed outside of the operating room by interventional pulmonologists and thoracic surgeons.
RECENT FINDINGS
Studies have recently documented the advantages of pharmacological sedatives and anesthetics for use in bronchoscopy. In particular, we review the increasing body of literature highlighting the advantages and benefits of propofol anesthesia for both flexible and rigid bronchoscopy.
SUMMARY
As our practice expands, relocation of appropriately triaged pulmonary interventional procedures including rigid bronchoscopy that were previously assigned to a traditional operating room setting improves provider flexibility, presents more cost-effective options while maintaining patient safety and satisfaction and reducing the time to recovery. Anesthesia practice has, therefore, shifted to caring for these sick patients outside the operating room and increasingly cooperation between anesthesiologist and proceduralist is required.
综述目的
讨论在软性和硬性支气管镜检查操作中镇静和麻醉方面的最新进展，介入肺科医生和胸外科医生越来越多地在手术室以外进行这些操作。
最新发现
近期研究记录了药理学镇静剂和麻醉剂在支气管镜检查中的优势。特别是，我们回顾了越来越多的文献，强调丙泊酚麻醉在软性和硬性支气管镜检查中的优势和益处。
总结
随着我们业务的扩展，将包括硬性支气管镜检查在内的经过适当分类的肺部介入手术从以前指定的传统手术室环境中转移出来，提高了医疗服务提供者的灵活性，提供了更具成本效益的选择，同时确保患者安全和满意度，并缩短恢复时间。因此，麻醉业务已转向在手术室以外护理这些病情较重的患者，麻醉医生和手术医生之间的合作需求日益增加。
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