Pulmonary disease diagnosis, need for flexible bronchoscopy Respiratory pulmonary disease, need for flexible bronchoscopy
Conditions
Interventions
Propofol continous infusion versus bolus for sedation in flexible bronchoscopy
Sponsors
University Hospital Basel (Switzerland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 or older 2. Patients undergoing flexible bronchoscopy
Exclusion criteria
Exclusion criteria: 1. Known allergy to propofol 2. Mental disorder preventing appropriate judgment concerning study participation 3. Pregnancy and breast-feeding 4. Intubated patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number (percentage) of complications (oxygen desaturation less than or equal to 90% 2. Need for chin-support 3. Need for nasopharyngeal or oropharyngeal airway insertion 4. Need for intubation 5. Hypotension with a systolic blood pressure of less than 90 mmHg 6. Minor or major bleeding 7. Intensive Care Unit [ICU] need post-bronchoscopy 8. Pneumothorax 9. Need to abort bronchoscopy 10. Death These outcomes are assessed by the study physician during and up to 24 hours after the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Total dose of propofol,dose of propofol per kilogram body weight and per minute 2. Duration of the procedure 3. Mean lowest oxygen saturation during the procedure 4. Mean lowest systolic blood pressure during the procedure 5. Hemodynamic parameters other than blood pressure during and after the procedure 6. Cough scores, as assessed by a Visual Analogue Scale (VAS) by patients, nurses and physicians during and 2 hours after the procedure 7. Patient discomfort 8. Median patient overall well-being (comfort) at 1 and 2 hours after the procedure 9. Willingness to undergo a repeated procedure, assessed by a VAS 2 hours after the procedure 10. Fear of undergoing a repeated procedure, assessed by a VAS 2 hours after the procedure 11. Supplemental lidocaine doses, assessed by the nurse team and study physician during the procedure, as judged by the bronchoscopist 12. Medication doses, assessed by the nurse team and study physician during the procedure, as judged by the bronchoscopist | — |
Countries
Switzerland
Outcome results
None listed