Premedication for fibreoptic bronchoscopy

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Premedication for fibreoptic bronchoscopy.

A randomised, double-blind trial of atropine, atropine plus papaveretum, and atropine plus diazepam given intramuscularly as premedication for fibreoptic bronchoscopy in 60 patients showed no difference between the three regimens as assessed by bronchoscopist or patient. Bronchoscopists frequently attributed a sedative action to atropine alone and their assessment of tolerance and sedation was ...

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Anaesthesia for fibreoptic bronchoscopy.

Fibreoptic bronchoscopy is a useful diagnostic aid but may result in difficulties when associated with endotracheal anaesthesia. As a result, adequate ventilation may be difficult in patients with impaired pulmonary function and, in particular, in female patients because of the smaller size of the laryngeal opening. In a trial of three methods of endotracheal anaesthesia in a series of 39 patie...

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Premedication for fibreoptic bronchoscopy: fentanyl, diazepam, and atropine compared with papaveretum and hyoscine.

Once the patient's cardiac state has been stabilised gastric lavage should be undertaken and calcium polystyrene sulphonate-for example, Calcium Resoriium 60 g-left in the stomach to reduce further potassium absorption. 1 g of Calcium Resonium can absorb about 1-3 mmol of potassium. Whole-gut lavage4 may also be helpful because slow-release tablets liberate potassium over three hours or longer,...

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Fibreoptic bronchoscopy without general anaesthetic.

We have used flexible fibreoptic bronchoscopy using sedation and local anaesthesia in 50 children aged 2-19 years (median 10) using an Olympus BFP20 instrument. Indications were opportunistic pneumonias (n = 11), persistent atelectasis (n = 11), recurrent pneumonia (n = 7), miscellaneous lower airway disease (n = 7), recurrent wheezing (n = 3), haemoptysis (3), to diagnose infection or rejectio...

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Cardiovascular consequences of fibreoptic bronchoscopy.

Fibreoptic bronchoscopy (FOB) is now commonly performed, and the number of elderly patients undergoing the procedure is increasing. Problems with oxygenation during FOB are well-recognised, but there are few data about its cardiovascular effects. Forty five patients (median age 65 yrs) undergoing elective FOB were studied prospectively. Patients were connected to a 12-lead computerized electroc...

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ژورنال

عنوان ژورنال: Thorax

سال: 1984

ISSN: 0040-6376

DOI: 10.1136/thx.39.3.214