Elsevier

Respiratory Medicine

Volume 94, Issue 12, December 2000, Pages 1145-1153
Respiratory Medicine

Topical Review
Sedation in outpatient bronchoscopy

https://doi.org/10.1053/rmed.2000.0926Get rights and content
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Abstract

Bronchoscopy is a procedure that is likely to provoke anxiety as the patient is surrounded by monitoring and bronchoscopy equipment, and care is administered by strangers who perform intimate, invasive, and sometimes, painful procedures. Sedation is needed, therefore, to allay anxiety and reduce stress, improve patient comfort and co-operation, provide amnesia and facilitate the bronchoscopic procedure. In this review we try to summarize the current knowledge on currently used sedation protocols with special reference to the commonly used pharmacological agents. We believe sedation should be used routinely in fiberoptic bronchoscopy in order to achieve a safe and pleasant procedure for both the patient and the pulmonologist.

Keywords

sedation
fiberoptic bronchoscopy
benzodiazepines
opiates
topical anaesthesia
analgesia.

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Correspondence should be addressed to: Prof. Mordechai R. Kramer, MD, Institute of Pulmonology, Rabin Medical Center, Petach Tikva 49100, Israel. Fax: 972-3-9216188; E-mail: [email protected]