Sedación en broncoscopia flexible. Estudio del perfil de seguridad y eficacia en dos cohortes de trabajoNeumología y Anestesiología

Abstract

Bronchoscopy is the most frequently performed invasive diagnostic procedure in Pulmonology. It is a technique with low morbidity and mortality, but due to the nature of the procedure, it causes a situation of stress, anxiety and discomfort in the patient who undergoes it. For this reason, in recent years the bronchoscopic procedure with sedative drugs has been imposed in order to improve tolerance and acceptability to the procedure, being performed routinely if there are no contraindications to the use of sedation. The administration of these drugs is carried out on a regular basis by specialists in Anesthesiology. Specialties such as Cardiology, Gastroenterology, Pediatrics or Radiology, who, when faced with certain procedures, are the specialists themselves who administer the sedative medication to the patient, including the use of propofol as the main drug for sedation. In the case of Pulmonologists, the administration of sedative medication to carry out bronchoscopic procedures has been a controversial issue until a few years ago, even within the pulmonology guild, although these specialists have proper training for the use of sedatives. At the present time, it is an accepted practice in the world of Pulmonology, although the use of certain sedative drugs such as propofol by non-anesthesiologists or intensivists continues to be the subject of discussion. Nowadays, we have different practical guides for sedation by non-anaesthetists carried out by the Anesthesiology societies, and the American and British guidelines being the most important...