Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Jan 1;30(1):99-106.
doi: 10.1097/MCP.0000000000001033. Epub 2023 Nov 6.

Anesthetic considerations in interventional pulmonology

Affiliations
Review

Anesthetic considerations in interventional pulmonology

Rutuja R Sikachi et al. Curr Opin Pulm Med. .

Abstract

Purpose of review: In this review, we highlight the important anesthetic consideration that relate to interventional bronchoscopic procedures for the management of central airway obstruction due to anterior mediastinal masses, endoluminal endobronchial obstruction, peripheral bronchoscopy for diagnosis and treatment of lung nodules, bronchoscopic lung volume reduction and medical pleuroscopy for diagnosis and management of pleural diseases.

Recent findings: The advent of the field of Interventional Pulmonology has allowed for minimally invasive options for patients with a wide range of lung diseases which at times have replaced more invasive surgical procedures. Ongoing research has shed light on advancement in anesthetic techniques and management strategies that have increased the safety during peri-operative management during these complex procedures. Current evidence focusing on the anesthetic techniques is presented here.

Summary: The field of Interventional Pulmonology requires a tailored anesthetic approach. Recent advancements and ongoing research have focused on expanding the partnership between the anesthesiologist and interventional pulmonologists which has led to improved outcomes for patients undergoing these procedures.

PubMed Disclaimer

References

    1. Keon TP. Death on induction of anesthesia for cervical node biopsy. Anesthesiology 1981; 55:471–472.
    1. Ramanathan K, Leow L, Mithiran H. ECMO and adult mediastinal masses. Indian J Thorac Cardiovasc Surg 2021; 37: (Suppl 2): 338–343.
    1. Radvansky B, Hunt ML, Augoustides JG, et al. Perioperative approaches to the anterior mediastinal mass-principles and pearls from a ten-year experience at an experienced referral center. J Cardiothorac Vasc Anesth 2021; 35:2503–2512.
    1. Gordon RA. Anesthetic management of patients with airway problems. Int Anesthesiol Clin 1972; 10:37–59.
    1. Nouraei SA, Giussani DA, Howard DJ, et al. Physiological comparison of spontaneous and positive-pressure ventilation in laryngotracheal stenosis. Br J Anaesth 2008; 101:419–423.