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Current Pulmonology Reports
Published in: Current Pulmonology Reports 4/2017

01-12-2017 | Interventional Pulmonology (L Seijo, Section Editor)

Conscious Sedation During Bronchoscopy: How Far We’ve Come

Authors: Daniel P. Franzen, Bernhard Walder, Christian Caduff, Jürgen Hetzel

Published in: Current Pulmonology Reports | Issue 4/2017

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Abstract

Purpose of Review

Flexible bronchoscopy (FB) is a cornerstone of modern pulmonary medicine. However, considerable heterogeneity persists with respect to education, training, and the performance of sedation during FB.

Recent Findings

Sedation administered by a non-anesthesiologist during FB has been demonstrated to be safe and effective, although comorbidities and respiratory disease severity must be taken into account regarding choice of sedation and monitoring. There is undoubtedly room for improvement concerning basic education and training in this field. In addition, current study heterogeneity complicates comparisons between various sedation regimens which in turn limit state of the art recommendations.

Summary

To reach a broad acceptance of non-anesthesiologist administered sedation, future studies and guidelines must increasingly focus on education and training. Research should be performed to establish a concept of harmonized patient selection for different sedation practices.
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Metadata
Title
Conscious Sedation During Bronchoscopy: How Far We’ve Come
Authors
Daniel P. Franzen
Bernhard Walder
Christian Caduff
Jürgen Hetzel
Publication date
01-12-2017
Publisher
Springer US
Published in
Current Pulmonology Reports / Issue 4/2017
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-017-0193-9

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