Anaesthetic management of endobronchial ultrasound guided trans bronchial needle aspiration: Our experience with laryngeal mask airway
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction Endobronchial Ultrasound Guided Trans bronchial needle aspiration EBUSTBNA is a minimally invasive diagnostic modality for evaluating intra thoracic lymph nodes becoming one of the important tool in the armamentarium of pulmonologists The size of the fiberscope and sharing of the airway with the bronchoscopist poses unique challenges to the anesthesiologist In light of these developments it is important to develop an office based anesthesia technique for this relatively new procedure Hence we did this descriptive cohort studyAim To describe the accuracy and anaesthetic management of EBUSTBNA as a day care procedure done with general anesthesia GAMaterials and Methods Data was collected from January 2017 to December 2017 at our institute from patients who underwent EBUSTBNA under GA using second generation laryngeal mask airway LMA Specifically hemodynamic status Oxygen saturation duration of the procedure diagnostic yield and complications of the procedure were recordedResults 23 patients underwent EBUSTBNA under GA All patients were found to be hemodynamically stable with fluctuations in blood pressure and heart rate being less than 20 from the baseline with no episodes of desaturation The average number of biopsies taken is 33 with average duration of the procedure being 670176 meanSD minutes The incidence of post procedural complications like cough and sore throat were minimal Successful diagnostic yield was found in all cases with no incidence of recall of the procedureConclusion The performance of EBUSTBNA under general anesthesia with LMA provides great hemodynamic stability and adequate ventilation in a shared airway It demonstrates excellent diagnostic accuracy It provides comfort to the patient and the good examination conditions to the bronchoscopistClinical Significance Use of PLMA solves the dilemma of managing ventilation during EBUS TBNA without affecting the diagnostic yield of the procedure KeywordsEndobronchial ultrasound Trans bronchial needle aspiration LMA Propofol
Authors and Affiliations
Rashmi Rani, Arpana Kedlaya, Uma Devaraj, Priya Ramachandran
Keywords
Related Articles
- EP ID EP476478
- DOI 10.18231/2394-4994.2018.0092
- Views 100
- Downloads 0
A comparative study of laryngeal view and pressor response by using three different blades- Macintosh, miller and Mccoy laryngoscopes
Maintenance of airway during anaesthesia is very important to anaesthesiologist A prospective randomized study was conducted in 90 patients ASAI II posted for various surgeries under general anaesthesia with endotrachea...
Effect of Intravenous Dexmedetomidine on Bupivacaine for Spinal Anaesthesia
Since the discovery of spinal anaesthesia, it has been used widely with different additives in local anaesthetic drugs. Vasoconstrictors like phenylephrine, opioids, neostigmine and clonidine are some of the well known a...
A randomized comparative study on brachial plexus block using nerve stimulator: infraclavicular - coracoid approach vs supraclavicular approach
Introduction: Pain relief with peripheral nerve block (PNB) is devoid of side effects such as somnolence, nausea, vomiting, hemodynamic instability and voiding difficulties inherent to general and central neuraxial anest...
Comparison of the effect of oral esomeprazole with pantoprazole on gastric pH and gastric volume: “A randomised double blind placebo controlled study”
Aim: This study aims to evaluate the effects of prophylactic use of oral esomeprazole, pantoprazole and Placebo on Gastric pH and Gastric volume at the time of induction (post-induction) and at recovery (pre-extubation),...
A randomized double blind comparative study on onset time and intubating conditions achieved with succinylcholine 1.5mg/kg and Rocuronium 0.6mg/kg & 0.9mg/kg IV
Introduction: A perfect setting for tracheal intubation include a rapid onset, and short duration of action. These requirements are best met by succinylcholine, an ultrashort acting depolarizing muscle relaxant. However...