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Subject Area

Clinical Pathology

Article Type

Original Study

Abstract

Objective The aim of the study was to compare fiberoptic bronchoscopy under general anesthesia (GA) using laryngeal mask versus local anesthesia (LA) with conscious sedation regarding hemodynamics, duration of the procedure, patient satisfaction, cough, desaturation events, and occurrence of complications, intraoperatively and, postoperatively. Background Symptomatic bronchoscopy has turned into a well-known technique for diagnosing different midsection diseases, and the point is that it should be perform without complications with the least occurrence of hemodynamic changes. Patients and methods Between mid-2015 and December 2016, this prospective randomized study incorporated 40 patients. Patients were randomized into two groups: group I included patients in whom symptomatic bronchoscope was performed under LA for aware sedation, and group II included patients in whom symptomatic bronchoscope was performed under GA with laryngeal mask. Results A total of 40 patients were included in the study and divided into two groups, with 20 patients in each group. Overall, 17 patients in group I had tachycardia and, hypertension during performance of the symptomatic bronchoscopy under LA, whereas four patients, in the group II had tachycardia and, hypertension. On the contrary, 10 patients in group II had postoperative difficulties such as claiming of laryngospasm and, oversedation, whereas only five patients in group I had postoperative difficulties of laryngospasm and, oversedation. Conclusion Symptomatic bronchoscope under GA with laryngeal mask is associated with greater amount hemodynamic stability and, more tolerant fulfillment over symptomatic bronchoscope under LA for aware sedation. Primary goal The aim is to analyze which method of sedation leads to more hemodynamic stability and carries less complications among patients undergoing diagnostic bronchoscope. Secondary goal The secondary aim is to increase satisfaction of patients undergoing bronchoscopy and analyze, their acceptance level for repeating the procedure in the future.

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