Interventional Pulmonology

David M DiBardino; Andrew R Haas; Richard C Month

doi:10.1016/j.anclin.2017.08.004

Interventional Pulmonology

Anesthesiol Clin. 2017 Dec;35(4):687-699. doi: 10.1016/j.anclin.2017.08.004.

Authors

David M DiBardino¹, Andrew R Haas², Richard C Month³

Affiliations

¹ Section of Interventional Pulmonology, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, 3400 Spruce Street, 839 West Gates Building, Philadelphia, PA 19104, USA. Electronic address: David.DiBardino@uphs.upenn.edu.
² Section of Interventional Pulmonology, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, 3400 Spruce Street, 839 West Gates Building, Philadelphia, PA 19104, USA.
³ Department of Anesthesiology and Critical Care, University of Pennsylvania, 3400 Spruce Street, 7th Floor Ravdin Building, Philadelphia, PA 19104, USA.

PMID: 29101958
DOI: 10.1016/j.anclin.2017.08.004

Abstract

Bronchoscopy presents a unique challenge and need for collaboration between anesthesia providers and bronchoscopists. The approach to topical anesthesia, analgesia, and sedation must be customized based on complexity, duration, and setting. The bronchoscopy team must work together in each phase of the procedure to ensure patient safety and allow completion of a quality bronchoscopy. Airway access may change depending on the type of procedure planned and must be discussed before each case. Intraprocedural difficulties with ventilation, airway pressure, and sedation may arise that must be addressed together. This review highlights an approach to these common challenges.

Keywords: Bronchoscopy; Interventional pulmonology; Jet ventilation; Total intravenous anesthesia.

Publication types

Review

MeSH terms

Anesthesia / methods*
Bronchoscopy / methods*
Humans
Lung Diseases / diagnosis*
Lung Diseases / therapy*
Pulmonary Medicine / methods*