Sedation during flexible bronchoscopy Not Applicable
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled for diagnostic or interventional bronchoscopy with an estimated duration >10 min
Exclusion criteria
Exclusion criteria: 1. Age 125 bpm 9. Tachycardic arrhythmias 10. Acute coronary syndrome 11. Severe heart failure 12. Septic shock 13. Severe hepatic impairment 14. Systolic blood pressure 40 kg/m²
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Level of sedation measured with Response and State Entropy (RE+SE), expressed as mean ± SEM representing the baseline starting points, the induction period until loss of consciousness (LOC), the LOC itself as a timepoint, and the procedure until the end of bronchoscopy 2. Sedation quality measured using a questionnaire to be completed by proceduralists and assisting nurses right after examination. Sedation quality could be rated using a grading system from Grade 1 = “Patient was very calm, excellent working conditions” up to Grade 6 "Patient was uneasy, not good working conditions". Expressed as numbers n and percentage 3. Total amount of propofol, and duration until LOC and duration of the procedure, expressed as mean ± SEM, measured using a timer function within the recording software, starting right before the sedation starts and ending 10 min after bronchoscopy ends | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse effects of the sedation protocol, i.e. heart rate >125 bpm and 120% of baseline, SpO2 10 sec and respiratory rate <8/min, expressed as number (n) and percentage (%), measured using a monitoring device and software recording every vital sign in real-time every second for HR and SpO2 and every 2.5 min for respiratory rate during the whole procedure | — |
Countries
Germany