Difference between revisions of "Endobronchial ultrasound-guided transbronchial needle aspiration"

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{{Infobox surgical procedure
{{Infobox surgical procedure
| anesthesia_type =  
| anesthesia_type = General
| airway =  
| airway = 9.0 ETT
| lines_access =  
| lines_access = PIV
| monitors =  
| monitors = Standard +/- arterial line
| considerations_preoperative =  
| considerations_preoperative = Pulmonary function, cardiac pathology
| considerations_intraoperative =  
| considerations_intraoperative = Prolonged apnea time, ventilator strategy to prevent atelectasis
| considerations_postoperative =  
| considerations_postoperative = hemorrhage/pneumothorax/respiratory failure
}}
}}


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|-
|-
|Pulmonary
|Pulmonary
|
|Toleration of prolonged (5-20 minutes) apnea
|-
|-
|Gastrointestinal
|Gastrointestinal
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=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===


=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
=== Induction and airway management<!-- The VESPA Trial (Ventilatory Strategy to Prevent Atelectasis https://pubmed.ncbi.nlm.nih.gov/35803302/ ) supports ETT placement followed by recruitment maneuver, PEEP 8 to 10 cm H2O, and tidal volumes 8-10 cc/kg to avoid atelectasis. -->===


=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===


=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications.     -->===


=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===
=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===
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|-
|-
|Position
|Position
|
|Supine
|
|
|-
|-
|Surgical time
|Surgical time
|
|30 min- 2 hours
|
|
|-
|-
|EBL
|EBL
|
|minimal
|
|
|-
|-
|Postoperative disposition
|Postoperative disposition
|
|PACU to home
|
|
|-
|-
|Pain management
|Pain management
|
|Counsel to expect sore throat from large ETT
|
|
|-
|-
|Potential complications
|Potential complications
|
|hemorrhage/pneumothorax/respiratory failure
|
|
|}
|}

Latest revision as of 09:33, 13 March 2024

Endobronchial ultrasound-guided transbronchial needle aspiration
Anesthesia type

General

Airway

9.0 ETT

Lines and access

PIV

Monitors

Standard +/- arterial line

Primary anesthetic considerations
Preoperative

Pulmonary function, cardiac pathology

Intraoperative

Prolonged apnea time, ventilator strategy to prevent atelectasis

Postoperative

hemorrhage/pneumothorax/respiratory failure

Article quality
Editor rating
Unrated
User likes
0

Provide a brief summary of this surgical procedure and its indications here.

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular
Pulmonary Toleration of prolonged (5-20 minutes) apnea
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position Supine
Surgical time 30 min- 2 hours
EBL minimal
Postoperative disposition PACU to home
Pain management Counsel to expect sore throat from large ETT
Potential complications hemorrhage/pneumothorax/respiratory failure

References