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Editorials |

The Old and the New of Sedation for Bronchoscopy

Michael A. Jantz, MD, FCCP*
Author and Funding Information

Dr. Jantz is the Director of Interventional Pulmonology, Associate Professor of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida.

Correspondence to: Michael A. Jantz, MD, FCCP, University of Florida, Medicine/Pulmonary & Critical Care, 1600 SW Archer Rd, Box 100225, Gainesville, FL 32610-0225; e-mail: jantzma@medicine.ufl.edu

The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(1):4-6. doi:10.1378/chest.08-2466
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Extract

Patient sedation during flexible bronchoscopy is variable depending on the experience and preference of the bronchoscopist. Some authors1 have suggested that sedation is not required for bronchoscopy. In support of this approach has been the argument that up to half of the major complications of bronchoscopy are sedation related. In general, however, most bronchoscopists use some form of sedation to alleviate patient anxiety, pain, cough, and dyspnea. Improving patient comfort and providing some degree of amnesia by using sedation likely increases the patient willingness to undergo additional bronchoscopic procedures.2,3 The ability to adequately and safely perform advanced diagnostic and therapeutic bronchoscopies is likely improved with sedation.

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