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Anesthesia for bronchoscopy

José, Ricardo J.a,b; Shaefi, Shahzadc; Navani, Neala,d

Current Opinion in Anaesthesiology: August 2014 - Volume 27 - Issue 4 - p 453–457
doi: 10.1097/ACO.0000000000000087
ANESTHESIA OUTSIDE THE OPERATING ROOM: Edited by Marc Van de Velde

Purpose of review: To discuss the recent advances in sedation and anesthesia for the practice of both flexible and rigid bronchoscopy, which are increasingly performed outside of the operating room by interventional pulmonologists and thoracic surgeons.

Recent findings: Studies have recently documented the advantages of pharmacological sedatives and anesthetics for use in bronchoscopy. In particular, we review the increasing body of literature highlighting the advantages and benefits of propofol anesthesia for both flexible and rigid bronchoscopy.

Summary: As our practice expands, relocation of appropriately triaged pulmonary interventional procedures including rigid bronchoscopy that were previously assigned to a traditional operating room setting improves provider flexibility, presents more cost-effective options while maintaining patient safety and satisfaction and reducing the time to recovery. Anesthesia practice has, therefore, shifted to caring for these sick patients outside the operating room and increasingly cooperation between anesthesiologist and proceduralist is required.

aDepartment of Thoracic Medicine, University College Hospital, London, UK

bCentre for Inflammation and Tissue Repair, University College London, London, UK

cDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

dLungs for Living Research Centre, University College London, London, UK

Correspondence to Dr Ricardo J. José, MBChB, DA(SA), MRCP, Department of Thoracic Medicine, University College London Hospital, 250 Euston Road, London NW1 2BU, UK. Tel: +44 20 7679 6975; e-mail: r.jose@ucl.ac.uk

© 2014 Lippincott Williams & Wilkins, Inc.