Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Anesthesia for interventional bronchoscopy
Autore:
Studer, W; Bolliger, CT; Biro, P;
Indirizzi:
Univ Basel Hosp, Dept Anesthesiol, CH-4031 Basel, Switzerland Univ Basel Hosp Basel Switzerland CH-4031 ol, CH-4031 Basel, Switzerland Univ Stellenbosch, Fac Med, Dept Internal Med, Cape Town, South Africa Univ Stellenbosch Cape Town South Africa l Med, Cape Town, South Africa Univ Zurich Hosp, Dept Anesthesiol, CH-8091 Zurich, Switzerland Univ Zurich Hosp Zurich Switzerland CH-8091 CH-8091 Zurich, Switzerland
Titolo Testata:
INTERVENTIONAL BRONCHOSCOPY
, volume: 30, anno: 2000,
pagine: 44 - 54
SICI:
1422-2140(2000)30:<44:AFIB>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
LARYNGEAL MASK AIRWAY; FREQUENCY JET VENTILATION; FLEXIBLE FIBEROPTIC BRONCHOSCOPY; DIFFICULT TRACHEAL INTUBATION; YAG LASER RESECTION; TOPICAL ANESTHESIA; GENERAL-ANESTHESIA; RIGID BRONCHOSCOPY; LOCAL-ANESTHESIA; INTENSIVE-CARE;
Tipo documento:
Article
Natura:
Collana
Settore Disciplinare:
Clinical Medicine
Citazioni:
71
Recensione:
Indirizzi per estratti:
Indirizzo: Studer, W Univ Basel Hosp, Dept Anesthesiol, CH-4031 Basel, Switzerland Univ Basel Hosp Basel Switzerland CH-4031 1 Basel, Switzerland
Citazione:
W. Studer et al., "Anesthesia for interventional bronchoscopy", PROG R RES, 30, 2000, pp. 44-54

Abstract

Perioperative anesthesiologic management of patients presenting for interventional bronchoscopy requires a multidisciplinary approach with optimal communication, adequate preoperative evaluation and preparation of patients, experience in alternative ventilatory techniques, availability of extended monitoring, and access to postoperative intensive care treatment including mechanical ventilation. Preoperative evaluation aims at identifying patients at risk for perioperative adverse events, especially regarding cardiovascular and pulmonary morbidity and optimizing ongoing therapies. Premedication strategies as well as guidelines concerning preoperative fasting and prevention of pulmonary aspiration are discussed. Interventional bronchoscopy is usually performed using topical local anesthesia for awake fiberoptic bronchoscopy and general anesthesia for rigid bronchoscopy. Ventilatory support can be provided by various modes, including spontaneous assisted ventilation using the laryngeal mask airway, endotracheal tubes or the rigid bronchoscope, intermittent positive pressure ventilation, and jet ventilation. During interventional bronchoscopy, short episodes of hypoxemia and hypercarbia are frequent problems which usually may be controlled with modification of the applied ventilation technique, whereas major hemorrhage and pneumothorax are more serious but fortunately rare complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 17:33:18