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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Patient-controlled Sedation During Flexible Bronchoscopy
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Patient-controlled Sedation During Flexible Bronchoscopy

机译：柔性支气管镜检查期间的患者控制镇静

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Supplemental Digital Content is available in the text. Background: Patient-controlled sedation (PCS) is a documented method for endoscopic procedures considered to facilitate early recovery. Limited data have been reported, however, on its use during flexible bronchoscopy (FB). Methods: This study hypothesized that PCS with propofol during FB would facilitate early recovery, with similar bronchoscopist and patient satisfaction compared with nurse-controlled sedation (NCS) with midazolam. A total of 150 patients were randomized 1:1:1 into a control group (premedication with morphine-scopolamine and NCS with midazolam), PCS-MS group (premedication with morphine-scopolamine and PCS with propofol), and PCS-G group (premedication with glycopyrronium and PCS with propofol). Results: The procedures included transbronchial biopsy, transbronchial needle aspiration, cryotherapy/biopsy, and/or multistation endobronchial ultrasound. FB duration values in median (range) were 40 (10 to 80), 39 (12 to 68), and 44 (10 to 82) minutes for the groups NCS, PCS-MS, and PCS-G, respectively. An overall 81% of the patients in the combined PCS groups were ready for discharge (modified Post Anaesthetic Discharge Scoring System, score 10) 2 hours after bronchoscopy compared with 40% in the control group ( P <0.0001). Between PCS groups, 96% of the PCS-G group patients were ready for discharge compared with 65% in the PCS-MS group ( P =0.0002) at 2 hours. Bronchoscopists’ and patients’ satisfaction scores were high in all groups. Postdischarge quality scores showed no differences among the groups. Conclusion: PCS with propofol during FB is feasible, as it shortened recovery time without compromising procedure conditions for bronchoscopists or patients. A rapid postsedation stabilization of vital signs facilitates surveillance before the patient leaves the hospital.
机译：文本中提供了补充数字内容。背景：患者控制的镇静（PCS）是一种记录的内窥镜程序，用于促进早期恢复。然而，已经报告了有限的数据在柔性支气管镜检查期间使用（FB）。方法：本研究假设FB期间具有异丙酚的PC将促进早期恢复，与Midazolam的护士控制的镇静（NCS）相比，具有相似的支气管镜检查和患者满意度。总共150名患者将150名患者1：1：1分为对照组（用Midazolam与Midazolam的NCS进行预留），PCS-MS组（用Morphine-Codopolamine和PCS与异丙酚）和PCS-G组（用糖葡萄酒和PCS用异丙酚进行预留。结果：该程序包括跨界活检，横刻针吸汗，冷冻疗法/活检，和/或多态内核超声。中位数（范围）中的FB持续时间值分别为40（10至80），39（12至68）和44（10至82）分钟，分别用于组NCS，PCS-MS和PCS-G。总共81％的患者组合的PCS组准备用于在支气管镜检查后2小时放电（修饰后的麻醉后排出评分系统，得分10）2小时，与对照组中的40％（P <0.0001）。在PCS组之间，96％的PCS-G群患者准备出放电，与PCS-MS组（P = 0.0002）相比，在2小时内为65％。所有群体中的支气管镜检查器和患者的满意度得分高。后收费质量分数在群体中没有差异。结论：在FB期间具有异丙酚的PC是可行的，因为它缩短了恢复时间，而不会影响支气管镜检查器或患者的程序条件。在患者离开医院之前，生命体征的快速诊断促进促进稳定性。

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