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Anaesthesia for interventional bronchoscopy 

Anaesthesia for interventional bronchoscopy
Chapter:
Anaesthesia for interventional bronchoscopy
Author(s):

Cait P. Searl

DOI:
10.1093/med/9780199653478.003.0034
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date: 21 October 2019

Bronchoscopy allows visualization and access to the airways for both diagnostic and interventional procedures. Interventional bronchoscopy has progressed from the use of rigid bronchoscopes to retrieve foreign bodies, to a broad range of applications using both rigid and flexible bronchoscopes. There has been a corresponding change in anaesthetic technique, initially utilizing local anaesthesia with morphine sedation for rigid bronchoscopy, to general anaesthesia. In contrast, flexible bronchoscopy is more commonly performed with use of local anaesthesia, with or without the addition of sedation. Preoperative and procedural considerations will take into account physiological changes due to bronchoscopy and the implications of these for the patient. Local anaesthetic techniques for flexible bronchoscopy are discussed. General anaesthesia is the norm for rigid bronchoscopy with intravenous anaesthesia short-acting opioids and muscle relaxants. Ventilation during rigid bronchoscopy is achieved with either a Sander’s injector or a high frequency jet ventilator. Anaesthesia for specific procedures is also discussed.

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