2019, Number 1
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Rev Med UAS 2019; 9 (1)
Comparison of two anesthetic techniques for flexible bronchoscopies: what is the ideal?
Valdez RJD, Figueroa VMA, Villegas DJE
Language: Spanish
References: 18
Page: 5-13
PDF size: 191.14 Kb.
ABSTRACT
Objective: To compare patient satisfaction between the use of micronebulized lidocaine versus general anesthesia for the performance
of flexible elective bronchoscopies.
Material and methods: An open clinical trial was performed in the Anesthesiology service
of the High Specialty Naval Hospital, circumscribing the patients who met the inclusion criteria in the period from January 2017 to
January 2018, under simple random assignment to the whole universe (n = 47). In group "A" received sedation plus lidocaine treatment
and group "B" general anesthesia.
Results: With the Iowa test, we value satisfaction at 30 and 60 minutes after bronchoscopy, which
was 100% in group "A" for both moments, while group "B" was 73.7% of cases 30 and 89.5% at 60 minutes. Post-anesthetic satisfaction
shows a statistically significant difference in favor of sedation plus lidocaine at 30 minutes; Regarding safety between treatments,
group "A" did not present any adverse event, while group "B" presented a case of bronchospasm (5.3%).
Conclusions: The use of
micronebulization with lidocaine plus sedation in patients undergoing elective flexible bronchoscopy has a greater satisfacti on in the
postanesthetic at 30 and 60 minutes, and has less adverse effects.
REFERENCES
Becker HD, Marsh BR. History of the Rigid Bronchoscope.General Aspects of InterventionalBronchoscopy. Interventional Bronchoscopy. EdKarger AG. Basel (Switzerland) 2000; 2-16
Reynoso FP, Colín I. La fibrobroncoscopia. Neumolcir tórax. 2006; (2):15–25
Vargas-Hernández JJ. Anestesia libre de opioides.Rev Mex Anestesiol. 2014; 37(1):24–7.
Gallardo-Hernández AG, Hernández-Pérez AL,Sánchez-López JA, Ordoñez-Espinosa G, Islas-Andrade S, Revilla-Monsalve C. Monitores deprofundidad anestésica. Rev Mex Anestesiol.2016; 39(3):201–4.
Martínez-Segura RT. TIVA-TCI, en pocas palabras.Rev Mex Anestesiol. 2013; 36(1):262–6.
Slaton RM, Thomas RH, Mbathi JW. Evidencefor therapeutic uses of nebulized lidocaine in thetreatment of intractable cough and asthma. AnnPharmacother. 2013; 47(4):578–85.
Lim KG, Rank MA, Hahn PY, Keogh KA, MorgenthalerTI, Olson EJ. Long-term safety of nebulizedlidocaine for adults with difficult-to-controlchronic cough: A case series. Chest. 2013;143(4):1060–5.
Bowling MR, Kohan MW, Walker P, Efird J, Or SBen. The Effect of General Anesthesia VersusIntravenous. J Bronchol Intervent Pulmonol.2015; 22(1):5–13.
Du Rand IA, Blaikley J, Booton R, Chaudhuri N,Gupta V, Khalid S, et al. British Thoracic Societyguideline for diagnostic flexible bronchoscopy inadults. Thorax. 2013; 68:i1–i44.
Goudra BG, Singh PM, Borle A, Farid N, HarrisK. Anesthesia for Advanced Bronchoscopic Procedures:State-of-the-Art Review. Lung. 2015;193(4):453–65.
Casal RF, Ost DE, Eapen GA. Flexible Bronchoscopy.Clin Chest Med. 2013; 34(3):341–52.
Hernández-Bernal E. Lidocaina intravenosacomo anestésico de base en neuro. Rev MexAnestesiol. 2011; 34(1):133–7.
Ogawa T, Imaizumi K, Hashimoto I, Shindo Y,Imai N, Uozu S, et al. Prospective analysis of efficacyand safety of an individualized-midazolam-dosing protocol for sedation during prolongedbronchoscopy. Respir Investig. 2014;52(3):153–9.
Quiroga WA, Grimaldos FB. Anestesia Tópicaen Broncoscopia con Lidocaína Diluida. RevUniv Industrial Santander. 2006; 38 (2): 114-121.
Sekimoto K, Tobe M, Saito S. Local anesthetictoxicity: acute and chronic management. AcuteMed Surg Acute Medicine & Surgery. 2017;4(2):152–60.
Kulkarni A, Simon B, Jose J. A new flexible laryngealmask airway introducer. Indian JAnaesth. 2012; 56(1):94.
Ameer B, Burlingame MB, Harman EM. Rapidmucosal absorption of topical lidocaine duringbronchoscopy in the presence of oral candidiasis.Chest. 1989; 96(6):1438–9.
García LF, Capera ADR. Validation to Spanishof the Iowa Satisfaction with Anesthesia Scale(ISAS) for monitored anesthesia care in ophthalmicsurgery. Rev Colomb Anestesiol. 2014;42(4):272–80.