International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)
Andreas Nilsson
Deparment of Medical and Health Science, Linkoping University, Linkoping, SwedenPublications
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Research
Patient-Controlled Sedation by Non-Anaesthesiologists during Flexible Bronchoscopy-A One-Year Experience Regarding Safety, Feasibility and Costs
Author(s): Benjamin Grossmann* and Andreas Nilsson
Background: Patient-Controlled Sedation (PCS) is an efficient and cost-saving method for sedation during Flexible Bronchoscopy (FB) in the presence of anaesthetic staff, but no data is available for PCS in a non-anaesthesiologist environment. Methods: This descriptive study describes PCS with propofol in a non-anaesthesiologist setup during outpatient FB procedures, including transbronchial biopsy, transbronchial needle aspiration, cryotherapy/biopsy, and/or multistation endobronchial ultrasound, and endoscopic ultrasound with a bronchoscope. Results: 287 procedures were completed. The median (range) duration for the procedures was 45 (10-105) minutes. The median (range) total propofol dose administered was 201 (55-570) mg, and 61 procedures (21%) required bolus doses of alfentanil. Desaturation occurred during 21% of the procedures and was resolved spontaneously (59%) or by using a j.. Read More»
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