Retrospective analysis of therapeutic bronchoscopic interventions under total intravenous anesthesia
Küçük Resim Yok
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Endobronchial obstruction is an important reason of morbidity and mortality in lung cancer patients. Therapeutic bronchoscopic interventions provide significant improvement in quality of life and possible survival benefit. In this study, we aimed to present our experiences related with general anesthesia for therapeutic bronchoscopic intervention. The study included 10 patients who underwent total intravenous anesthesia (TIVA) for therapeutic bronchoscope interventions on cases with bronchogenic carcinoma between 2007 and 2008. Remifentanil and propofol were, used for anesthetic induction and then maintenance of anesthesia with TIVA was decided in consideration of the data recorded and manual ventilation was applied with the aid of the rotating side-arm of the rigid bronchoscope (RB) following the instillation of lhe RB without any muscle relaxant. Mean arterial blood pressure (MAP), heart rate, peripheral oxygen saturation (SpO2), arterial blood gas and pulmonary function test were retrospectively evaluated The values of MAP in the induction period were significantly lower from the preoperative values. The values of SpO2, were re significantly higher in the induction period than the preoperative period (p <0.05). Since spontaneous assisted ventilation can be applied more safely with facilitated control of anesthetic depth, it is thought that using TIVA with remifentanil and propofol could be a preferred therapeutic method for bronchoscope interventions.
Açıklama
Anahtar Kelimeler
Propofol; Remifentanil; Therapeutic Bronchoscopy; Total Intravenous Anesthesia; Trakeabronchial Obstruction, Propofol; Remifentanil; Anesthesia Induction; Anesthesia Level; Arterial Gas; Article; Assisted Ventilation; Blood Oxygen Tension; Bronchoscope; Bronchoscopy; Bronchus Cancer; Clinical Article; General Anesthesia; Heart Rate; Human; Intravenous Anesthesia; Lung Function Test; Manual Ventilation; Mean Arterial Pressure; Preoperative Period; Retrospective Study
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
16
Sayı
2
