Evaluation of bronchoscopic direct vision glottis anesthesia method in bronchoscopy  

作　　者：Jie Lang Zhi-Zhen Guo Shu-Shan Xing Jian Sun Bin Qiu Yu Shu Zhi-Qiang Wang Gui-Xiang Liu 

机构地区：[1]Department of Thoracic Surgery,Tangshan People’s Hospital,Tangshan 063000,Hebei Province,China [2]Department of Nephrology,Kailuan General Hospital,Tangshan 063000,Hebei Province,China [3]Department of Oncology,Tangshan Central Hospital,Tangshan 063000,Hebei Province,China

出　　处：《World Journal of Clinical Cases》2023年第21期5108-5114,共7页世界临床病例杂志

基　　金：Hebei Science and Technology Program,No.162777232(to Xing SS).

摘　　要：BACKGROUND Fibrobronchoscopy is a common adjunct tool that requires anesthesia and is widely used in the diagnosis and treatment of various respiratory diseases.However,current anesthesia methods,such as spray,nebulized inhalation,and cricothyroid membrane puncture,have their own advantages and disadvantages.Recently,studies have shown that bronchoscopic direct-view glottis anesthesia is a simple and inexpensive method that shortens the examination time and provides excellent anesthetic results.AIM To evaluate the effectiveness of bronchoscopic direct vision glottis anesthesia for bronchoscopy.METHODS The study included 100 patients who underwent bronchoscopy during thoracic surgery.A random number table method was used to divide the patients into control and observation groups(50 patients each).The control and observation groups were anesthetized using the nebulized inhalation and bronchoscopic direct vision glottis method,respectively.Hemodynamic indices[systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),and oxygen saturation(SpO_(2))before(T1),5 min after anesthesia(T2),and at the end of the operation(T3)]serum stress hormone indices[norepinephrine(NE),epinephrine(E),adrenocorticotropic hormone(ACTH),and cortisol(Cor)before and after treatment]were compared between the 2 groups.Adverse effects were also RESULTS At T2 and T3,SBP,DBP,and HR were lower in the observation group than the control group,whereas SpO_(2) was higher than the control group[(119.05±8.01)mmHg vs(127.05±7.83)mmHg,(119.35±6.66)mmHg vs(128.39±6.56)mmHg,(84.68±6.04)mmHg vs(92.42±5.57)mmHg,(84.53±4.97)mmHg compared to(92.57±6.02)mmHg,(74.25±5.18)beats/min compared to(88.32±5.72)beats/min,(74.38±5.31)beats/min compared to(88.42±5.69)beats/min,(97.36±2.21)%vs(94.35±2.16)%,(97.42±2.36)%vs(94.38±2.69%],with statistically significant differences(all P<0.05).After treatment,NE,E,ACTH,and Cor were significantly higher in both groups than before treatment,but were lower in the observation group than in the control

关 键 词：Direct bronchoscopy Glottis anesthesia method BRONCHOSCOPY AIRWAY SEDATION 

分 类 号：R614[医药卫生—麻醉学]