Anesthesia for adult bronchoscopy
- Authors
- Paul H Alfille, MD
Paul H Alfille, MD
- Assistant Professor of Anesthesiology
- Harvard Medical School
- Jeremi Mountjoy, MD
Jeremi Mountjoy, MD
- Instructor
- Harvard Medical School
- Section Editor
- Peter D Slinger, MD, FRCPC
Peter D Slinger, MD, FRCPC
- Section Editor — Thoracic/Vascular Anesthesia
- Professor of Anesthesia
- Toronto General Hospital
- Deputy Editor
- Nancy A Nussmeier, MD, FAHA
Nancy A Nussmeier, MD, FAHA
- Deputy Editor — Anesthesiology
- Department of Anesthesia, Critical Care, and Pain Medicine
- Massachusetts General Hospital
INTRODUCTION
Bronchoscopy is a common diagnostic and therapeutic procedure performed by thoracic surgeons or interventional pulmonologists to diagnose and/or treat a variety of pulmonary conditions. Flexible bronchoscopy can be used for most diagnostic and therapeutic procedures (figure 1 and figure 2). Rigid bronchoscopy may be necessary for selected procedures (eg, removal of airway foreign bodies, treatment of tracheal stenosis, placement of silicon airway stents) (picture 1 and picture 2).
Anesthetic considerations differ markedly for flexible versus rigid bronchoscopy. This topic reviews anesthetic management of adult patients during flexible or rigid bronchoscopy procedures.
For flexible bronchoscopy, indications, equipment, specific procedures, and complications are discussed in other topics:
●(See "Flexible bronchoscopy in adults: Overview".)
●(See "Flexible bronchoscopy in adults: Preparation, procedural technique, and complications".)
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: Jul 2017. | This topic last updated: Jan 10, 2017.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- American Society of Anesthesiologists. Standards for Basic Anesthetic Monitoring. www.asahq.org/Search.aspx?q=standards+basic+anesthetic+monitoring (Accessed on March 29, 2016).
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Top- INTRODUCTION
- ANESTHETIC TECHNIQUES FOR FLEXIBLE BRONCHOSCOPY
- Equipment, patient preparation, and monitoring
- Choice of technique
- Topical airway anesthesia with sedation
- - Topical anesthesia
- - Sedation
- General anesthesia
- - Anesthetic techniques
- Inhalation anesthesia
- Total intravenous anesthesia
- - Airway control
- Laryngeal mask airway
- Endotracheal tube
- - Emergence and postoperative care
- GENERAL ANESTHESIA FOR RIGID BRONCHOSCOPY
- Equipment, patient preparation, and monitoring
- Choice of technique
- - Total intravenous anesthesia
- - Inhalation anesthesia
- Ventilation techniques
- - Positive pressure ventilation
- - Jet ventilation
- Emergence and postoperative care
- SUMMARY AND RECOMMENDATIONS
- REFERENCES