Anaesthesia for bronchoscopy poses unique challenges. Anesthetic technique for advanced bronchoscopyother section. Anaesthesia management during interventional bronchoscopic. Other than with rigid bronchoscopy, the use of dexamethasone on most. Due to the need for general anesthesia with rigid bronchoscopy and lack of standardization in. The latter is done directly with either a tooth guard or a salinesoaked. Induction of general anesthesia for rigid bronchoscopy is associated with various risks including hypoxemia, collapse of upper airways, laryngospasm, leading to difficulties in inserting the rigid. Hence, manual ventilation with bag may be needed in many cases with careful. Keywords anesthesia, interventional bronchoscopy, laryngeal mask airway, mechanical jet ventilation. Summarizing societal guidelines regarding bronchoscopy. Rigid bronchoscopy is an invasive procedure that is utilized to visualize the oropharynx, larynx, vocal cords, and tracheal bronchial tree. Available approaches include apneic oxygenation, spontaneous assisted ventilation, controlled ventilation, manual jet, and highfrequency jet. Rigid bronchoscopy under general anesthesia enables performing diagnostic andor therapeutic procedures in the tracheobronchial tree.
Ventilation and anesthetic approaches for rigid bronchoscopy. Rigid bronchoscopy under general anesthesia enables. At all times, the patients lips and teeth should be protected. Anesthetic considerations for bronchoscopic procedures. Farrellmbbs, frca, fanzca department of anaesthesia, john hunter hospital, newcastle, australia summary foreign body aspiration is a leading cause of death in children years old, although mortality is low for children who reach the hospital.
Mr neel raithatha aka the wax whisperer recommended for you. Anesthesia for adult rigid bronchoscopy request pdf. Rigid bronchoscopy usually requires general anaesthesia while flexible. Anesthesia for bronchoscopy and interventional pulmonology. The rigid bronchoscope occupies a central role in this specialty and offers many important advantages over the flexible scope when performing. The procedure may be performed in an endoscopy suite with available anesthesia, but more appropriately in the operating room, and rarely in the icu.
Advantages and limitations of both rigid and flexible bronchoscopy are analysed. Rigid bronchoscopy performed using local anesthesia was first described in 1947. Pdf ventilation and anesthetic approaches for rigid. Combustible gases, such as halothane should be strictly avoided.