Tolerance and Safety of 5 Models of Sedation During Endobronchial Ultrasound.
Arch Bronconeumol
; 52(1): 5-11, 2016 Jan.
Article
in En, Es
| MEDLINE
| ID: mdl-26071369
ABSTRACT
INTRODUCTION:
Sedation during endobronchial ultrasound (EBUS) is essential due to the long duration of this procedure. We evaluated different models of sedation and their complications.METHOD:
A multicenter, prospective, observational study of 307 patients undergoing EBUS was conducted. Patients were sedated with a) midazolam bolus; b) propofol infusion; c) midazolam bolus and propofol infusion; d) propofol infusion and remifentanil infusión, or e) midazolam bolus and fentanyl bolus, and clinical variables were collected. Patients were asked to complete a satisfaction survey following the test.RESULTS:
Patients per sedation model were A 24, B 37, C 107, D 62 and E 77. Scores for perceived sensations of recall, pain, cough, dyspnea and prolonged examination (0.65±1.11; 0 3±0.73, 0.46±0.9, 0.29±0.73, and 0.59±0.96, respectively) were lower compared to fear and nervousness before the examination (1.26±1.37 and 1.5±1.41, respectively). High levels of indifference to repeating the procedure (1.49±1.3) and a reported pleasant feeling during the test (1.23±1.17), with low levels of anxiety (0.49±0.85) and discomfort (0.62±1.1), show that different models of sedation were well tolerated. Almost half the patients (46.6%) did not report any "worst moment" during the procedure, and 89.6% were willing to undergo a repeat test. The E and C models presented fewest complications (12.9 and 31.7%, respectively), and all were resolved with simple therapeutic measures.CONCLUSIONS:
The models of sedation evaluated were well tolerated and most patients were willing to undergo repeat EBUS. Complications were few and easily resolved.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bronchoscopy
/
Conscious Sedation
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Endosonography
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Deep Sedation
Type of study:
Clinical_trials
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Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Language:
En
/
Es
Journal:
Arch Bronconeumol
Year:
2016
Type:
Article