Bronchoscopy meds: a handy how-to guide (ACCP Guideline/Review, CHEST) - PulmCCM
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Nov 092011
 

Duke’s Momen Wahidi and other luminaries bring you a consensus statement on use of peri-procedure medications during bronchoscopy. I’m assuming you’ve done a few already, so here are some highlights (with slight liberties in paraphrasing):

  • Use topical anesthesia as well as moderate sedation in all patients, unless there are contraindications or you practice at a secret CIA prison. An opiate-benzo cocktail is ideal due to its synergistic pharmaco-mechanisms.
  • Propofol works nicely. It has a faster recovery time without increased adverse events in trials compared to benzo/opiates. Authors disclose they were investigators in the multicenter trials of fospropofol.
  • Don’t use cocaine (on the patient as a topical anesthetic). The authors respectfully suggest lidocaine.
  • Don’t use atropine or glycopyrrolate for secretions, bronchodilation etc … they don’t work and might harm.

Wahidi MM et al. American College of Chest Physicians Consensus Statement on the Use of Topical Anesthesia, Analgesia, and Sedation During Flexible Bronchoscopy in Adult Patients. CHEST 2011;140(5):1342-1350.

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  2 Responses to “Bronchoscopy meds: a handy how-to guide (ACCP Guideline/Review, CHEST)”

  1. Any difference between intubated/non- intubated patients ?

    • Have done thousands of bronchoscopies transnasally without intubation and the combination of Versed and Fentanyl has been very successful. Propofol is great, but in our institution, an anesthesiologist is required.

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