Management of ventilation during bronchofiberscopy with laryngeal mask
Keywords:
bronchoscopy, laryngeal masks, pulmonary ventilationAbstract
Introduction: bronchofiberscopy is the method of scanning and direct inspection of the larynx and the tracheobronchial tree with a long, thin, flexible tube glass fiber as an optical medium called bronchofiberscopy. Objective: to describe the behavior of ventilation during bronchofiberscopy. Method: 30 patients announced to bronchofiberscopy were studied at "Comandante Manuel Fajardo Rivero" Clinic and Surgical Hospital ventilated with Fastrach. Ventilation variables (pressure inspiratory airway and tidal volumes) were studied. Results: during times (initial-final comparison) there were no significant differences between the mean tidal volumes. When analyzing the pressures airway of patients it was observed that there was no difference in measurements of pressure at different times and remained within normal limits. Conclusions: Fastrach laryngeal mask allowed the ventilation control occurs continuously during attempts to introduce the bronchofiberscopy; adequate ventilation volumes were guaranteed, with pressure levels in the air.Downloads
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1. Pérez-Frías J, Moreno Galdó A, Pérez Ruiz E, Barrio Gómez de Agüero MI, Escribano Montaner A, Caro Aguilera P. Normativa de broncoscopia pediátrica. Arch Bronconeumol [Internet]. 2011 [citado 7 Ene 2013]; 47(7):[aprox. 31 p.]. Disponible en: http://www.archbronconeumol.org/es/normativa-broncoscopia-pediatrica/articulo/S0300289611001165/
2. Pérez-Frías J, Caro-Aguilera P, Pérez-Ruiz E, Moreno-Requena L. Tratamiento del cuerpo extraño intrabronquial. Broncoscopia combinada en neumología infantil. An Pediatr [Internet]. 2010 [citado 27 Ene 2014];72:67–71. Disponible en: http://www.analesdepediatria.org/es/tratamiento-del-cuerpo-extrano-intrabronquial-/articulo/S1695403309004913/
3. Rodrigues AJ, Rogério Scordamaglio PR, Mejia Palomino AM, Quintino de OE, Jacomelli M, Figueiredo VR. Intubación de vía aérea difícil con broncoscopio flexible. Rev Bras Anestesiol [Internet]. 2013 [citado 17 Abr 2014];63(4):359-362. Disponible en: http://www.scielo.br/scielo.php?pid=S0034-70942013000400009&script=sci_arttext&tlng=es
4. Esquinas A, Zuil M, Scala R, Chiner E. Broncoscopia durante la ventilación mecánica no invasiva: revisión de técnicas y procedimientos. Arch Bronconeumol [Internet]. 2013 [citado 8 Ene 2014];47(7):49(3):105-12. Disponible en: http://www.archbronconeumol.org/es/pdf/S0300289612002062/S300/
5. Brimacombe J, Berry A. Use of the laryngeal mask airway to facilitate fibreoptic bronchoscopy in awake patients. Acta Anesthesiol Scand. 1994;38: 90.
6. Bandla HP, Smith DE, Ciernan MP. Laryngeal mask airway facilitated fibreoptic bronchoscopy in infants. Report of investigation. Can J Anaesth. 1997;44:1242.
7. Chiu PC, Cheng KI, Tseng KY, Shih CK, Chen MK. Fibreoptic bronchoscopy to facilitate ProSeal laryngeal mask airway insertion in a patient with ankylosing spondylitis. Anaesthesia [Internet]. 2011 [citado 7 Ene 2013];66(2):138-9. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2010.06594.x/full
8. Ellard L, Brown DH, Wong DT. Extubation of a difficult airway after thyroidectomy: use of a flexible bronchoscope via the LMA-ClassicTM. Can J Anaesth [Internet]. 2012 [citado 10 Abr 2013];47(7):59(1):53-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22037986
9. Álvarez-Rios JJ, Vanegas-Hernandez M, Manrique-Carmona L, López-Beltran AM. Mascarilla laríngea fastrach (ILMA) en la broncoscopía. Anest Méx [Internet]. 2004 [citado 28 Feb 2013];16(1):18-21. Disponible en: http://www.anestesiaenmexico.org/RAM1/Art/Originales/ALVAREZRIOS/RAM.ML-ALVAREZRIOS.pdf
10. Chacón RA, González JL, Montalbán RC. Manejo de la vía aérea en procedimientos de vía aérea superior. Rev Chil Anest [Internet]. 2010 [citado 27 Mar 2013]; 39:141-151. Disponible en: http://www.sachile.cl/upfiles/revistas/4ce1445c324b4_chacon.pdf
11. Jeon WJ, Cho SY, Bang MR, Ko SY. Comparison of volume-controlled and pressure-controlled ventilation using a laryngeal mask airway during gynecological laparoscopy. Korean J Anesthesiol [Internet]. 2011 [citado 7 Ene 2013];60(3):167-72. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21490817
12. Karim YM, Swanson DE. Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA FastrachTM) and the Air-Q. Anaesthesia [Internet]. 2011 [citado 7 Ene 2013]; 66(36):185-90. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2011.06625.x/full
13. Halwagi AE, Massicotte N, Lallo A, Gauthier A, Boudreault D, Ruel M, et al. Tracheal intubation through the I-gel™ supraglottic airway versus the LMA Fastrach™: a randomized controlled trial. Anesth Analg [Internet]. 2012 [citado 27 Ene 2013]; 114(1):152-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22075016
14. Pean D, Floch H, Beliard C, Piot B, Testa S, Bazin V, et al. Propofol versus sevoflurane for fiberoptic intubation under spontaneous breathing anesthesia in patients difficult to intubate. Minerva Anestesiol [Internet]. 2010 [citado 8 Mar 2013];76(10):780-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20935613
15. Scala R, Naldi M, Maccari U. Early fiberoptic bronchoscopy during noninvasive ventilation in patients with decompensated chronic obstructive pulmonary disease due to community acquired pneumonia. Crit Care [Internet]. 2010 [citado 7 Ene 2014]; 47(7):14(2):R80. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887203/
16. Murgu SD, Pecson J, Colt HG. Bronchoscopy during noninvasive ventilation: indications and technique. Respir Care [Internet]. 2010 [citado 10 Nov 2014];55(5):595-600. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20420731
17. Heunks LM, De Bruin CJ, Van der Hoeven JG, Van der Heijden HF. Non-invasive mechanical ventilation for diagnostic bronchoscopy using a new face mask: an observational feasibility study. Intensive Care Med [Internet]. 2010 [citado 9 Ene 2015];36 (1):143-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19774365
18. Chiner E, Sancho-Chust JN, Llombart M, Senent C, Camarasa A, Signes-Costa J. Fiberoptic bronchoscopy during nasal non-invasive ventilation in acute respratory failure. Respiration [Internet]. 2010 [citado 25 Ene 2014];80(4):321-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20424426
19. Clouzeau B, Bui HN, Guilhon E, Grenouillet-Delacre M, Leger MS, Saghi T, et al. Fiberoptic bronchoscopy under noninvasive ventilation and propofol target-controlled infusion in hypoxemic patients. Intensive Care Med [Internet]. 2011 [citado 20 Oct 2013];37(12):1969-75. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21983627
20. Álvarez GC, Rodríguez JI, Ronco MR, Castilla MA, Campos NE, Sánchez DI. Uso de mascarilla laríngea para fibrobroncoscopia en lactantes durante ventilación mecánica. Rev Chil Enferm Respir [Internet]. 2002 [citado 27 Ene 2013];18(2):[aprox. 9 p.]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-73482002000200005&lng=es&nrm=iso&tlng=es
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