Patient experience with bronchoscopy: topical versus monitored anesthesia
Abstract Background This study aimed to compare patient experiences during bronchoscopy procedures using either topical anesthesia (TA) or monitored anesthesia care (MA). The goal was to identify circumstances where patients could achieve similar levels of tolerance and satisfaction using only TA, e...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Pulmonary Medicine |
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| Online Access: | https://doi.org/10.1186/s12890-024-02954-6 |
| _version_ | 1797220074913792000 |
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| author | Chun-Ta Huang Rou-Jun Chou Geng-Ning Hu Tien-Cheng Lee Yi-Ju Tsai Chao-Chi Ho |
| author_facet | Chun-Ta Huang Rou-Jun Chou Geng-Ning Hu Tien-Cheng Lee Yi-Ju Tsai Chao-Chi Ho |
| author_sort | Chun-Ta Huang |
| collection | DOAJ |
| description | Abstract Background This study aimed to compare patient experiences during bronchoscopy procedures using either topical anesthesia (TA) or monitored anesthesia care (MA). The goal was to identify circumstances where patients could achieve similar levels of tolerance and satisfaction using only TA, especially in resource-limited settings. Methods This study included consecutive patients who underwent bronchoscopy with either TA or MA. Data collected included demographics, indications for bronchoscopy, procedure time, and complications during the procedure. A quality assurance survey was administered to assess patient experience and satisfaction with both procedures. A pre-specified subgroup analysis was performed based on procedure invasiveness and time. Results This study enrolled 350 (TA 251; MA 99) patients, with an average age of 65 years. Main indications for bronchoscopy included tumor diagnosis (38%), esophageal cancer staging (18%), and pulmonary infection (17%). The average duration of the procedures was 20 min, with MA being associated with a significantly longer procedure time than TA (31 min vs. 16 min; P < 0.001). The overall satisfaction rating with bronchoscopy was significantly higher in the MA group (visual analogue scale, 8.9 vs. 8.2; P = 0.001). Subgroup analyses showed that when less invasive or shorter procedures were performed, TA patients reported tolerance and satisfaction levels comparable to MA patients. Conclusions Bronchoscopy with MA offered patients a better experience and greater satisfaction; however, in settings with limited resources, TA alone may provide similar levels of patient tolerance and satisfaction during less invasive or shorter procedures. |
| first_indexed | 2024-04-24T12:43:46Z |
| format | Article |
| id | doaj.art-88f6ad0b3cf9442e8fa13980c19ed347 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-04-24T12:43:46Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-88f6ad0b3cf9442e8fa13980c19ed3472024-04-07T11:07:08ZengBMCBMC Pulmonary Medicine1471-24662024-04-012411710.1186/s12890-024-02954-6Patient experience with bronchoscopy: topical versus monitored anesthesiaChun-Ta Huang0Rou-Jun Chou1Geng-Ning Hu2Tien-Cheng Lee3Yi-Ju Tsai4Chao-Chi Ho5Department of Internal Medicine, National Taiwan University HospitalDivision of Respiratory Therapy and Chest Medicine, Department of Internal Medicine, Cathay General HospitalDivision of Pulmonary Medicine, Department of Internal Medicine, National Taiwan University Hospital, Hsin-Chu BranchDepartment of Medicine, College of Medicine, National Taiwan UniversitySchool of Medicine, College of Medicine, Fu Jen Catholic UniversityDepartment of Internal Medicine, National Taiwan University HospitalAbstract Background This study aimed to compare patient experiences during bronchoscopy procedures using either topical anesthesia (TA) or monitored anesthesia care (MA). The goal was to identify circumstances where patients could achieve similar levels of tolerance and satisfaction using only TA, especially in resource-limited settings. Methods This study included consecutive patients who underwent bronchoscopy with either TA or MA. Data collected included demographics, indications for bronchoscopy, procedure time, and complications during the procedure. A quality assurance survey was administered to assess patient experience and satisfaction with both procedures. A pre-specified subgroup analysis was performed based on procedure invasiveness and time. Results This study enrolled 350 (TA 251; MA 99) patients, with an average age of 65 years. Main indications for bronchoscopy included tumor diagnosis (38%), esophageal cancer staging (18%), and pulmonary infection (17%). The average duration of the procedures was 20 min, with MA being associated with a significantly longer procedure time than TA (31 min vs. 16 min; P < 0.001). The overall satisfaction rating with bronchoscopy was significantly higher in the MA group (visual analogue scale, 8.9 vs. 8.2; P = 0.001). Subgroup analyses showed that when less invasive or shorter procedures were performed, TA patients reported tolerance and satisfaction levels comparable to MA patients. Conclusions Bronchoscopy with MA offered patients a better experience and greater satisfaction; however, in settings with limited resources, TA alone may provide similar levels of patient tolerance and satisfaction during less invasive or shorter procedures.https://doi.org/10.1186/s12890-024-02954-6AnesthesiaBronchoscopyComplicationSatisfactionVisual analogue scale |
| spellingShingle | Chun-Ta Huang Rou-Jun Chou Geng-Ning Hu Tien-Cheng Lee Yi-Ju Tsai Chao-Chi Ho Patient experience with bronchoscopy: topical versus monitored anesthesia BMC Pulmonary Medicine Anesthesia Bronchoscopy Complication Satisfaction Visual analogue scale |
| title | Patient experience with bronchoscopy: topical versus monitored anesthesia |
| title_full | Patient experience with bronchoscopy: topical versus monitored anesthesia |
| title_fullStr | Patient experience with bronchoscopy: topical versus monitored anesthesia |
| title_full_unstemmed | Patient experience with bronchoscopy: topical versus monitored anesthesia |
| title_short | Patient experience with bronchoscopy: topical versus monitored anesthesia |
| title_sort | patient experience with bronchoscopy topical versus monitored anesthesia |
| topic | Anesthesia Bronchoscopy Complication Satisfaction Visual analogue scale |
| url | https://doi.org/10.1186/s12890-024-02954-6 |
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