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BronchoscopyPatient Satisfaction With Conscious Sedation for Bronchoscopy
Section snippets
Patients
One hundred patients, undergoing a routine diagnostic FFB for the first time, were evaluated. Patients undergoing BAL and transbronchial biopsy, as well as intubated patients, were excluded from the study. Fifty-four bronchoscopies were performed on an outpatient basis; the other 46 patients underwent bronchoscopy during hospitalization. Each patient provided informed and written consent to bronchoscopy and was randomly allocated to either the group examined with sedation or without sedation.
Procedure
Results
There were no significant differences between the two groups in terms of age, sex, smoking status, indications for bronchoscopy, FEV1 (percent of the predicted one), and FVC values (percent of the predicted one) (Table 1). Bronchoscopic procedures carried out were similar in both groups, including endobronchial biopsies and/or brushings in 28% and 32% in the sedation and nonsedation groups, respectively. Anxiety score before FFB, as judged on VAS, was 40.57 ± 30.16 in the sedation group and
Discussion
FFB is mostly performed with the patient under conscious sedation.13 However, little is known about the relationship between sedation and patient satisfaction with the procedure.1013141516 Various IV sedative drugs have been tested previously because of their ability to improve patient tolerance, and currently benzodiazepines are more frequently preferred for sedation during FFB.23 The use of benzodiazepines seems justified by its powerful anxiolytic and amnesiac effects, but the evidence
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Safe sedation during diagnostic and therapeutic flexible bronchoscopy in Japan: A review of the literature
2023, Respiratory InvestigationCitation Excerpt :If patients do not react to others or converse easily 2 h after bronchoscopy, we recommend administration of naloxone (0.2 mg) and/or anexate (0.5 mg) [18]. Several randomized studies have shown that sedation improves patient tolerance during bronchoscopic procedures [29–32] and is associated with better physician satisfaction [33]. Sedation with opioids and midazolam during bronchoscopic examinations is widely performed by pulmonary physicians in the United States and Europe [34,35].
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