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Procedures: Procedures 2 |

Patient and Procedure Characteristics Associated With High Sedation Requirements During Bronchoscopy Including EBUS Guided Sampling

Pooja Belligund, MD; Francis Christian, MD; Mohammad Al-Ajam, MD; Vanthanh Ly, MD; Gangacharan Dubey, MD; Abhijit Mahalingashetty, MD; Natalie Ho, PharmD; Naveen Singh, MD; Michael Cutaia, MD
Author and Funding Information

VA Medical Center, Brooklyn, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1014A. doi:10.1016/j.chest.2016.08.1120
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SESSION TITLE: Procedures 2

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Studies comparing deep sedation or general anesthesia with moderate sedation for bronchoscopy, including EBUS, show an increase in hypotension, desaturation, and difficulty completing the procedure (9), as well as a decrease in diagnostic yield (8). A large study looking at factors affecting sedation in upper endoscopy and colonoscopy found correlations for age, BMI, benzodiazepine and opioid use among others (2). A recent VA ICU study demonstrated an association between PTSD and higher propofol requirements for sedation while on mechanical ventilation and association with worse outcomes (7). However, few studies (5, 6) have looked at a comprehensive list of factors that may affect sedation during bronchoscopic procedures.

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