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Original research

Fixed dexmedetomidine infusion versus fixed-dose midazolam bolus as primary sedative for maintaining intra-procedural sedation during endobronchial ultrasound-guided transbronchial needle aspiration: a double blind randomized controlled trial

, , , , ORCID Icon & ORCID Icon
Pages 1597-1604 | Received 20 Jan 2021, Accepted 13 Apr 2021, Published online: 25 Apr 2021

References

  • Agarwal R, Aggarwal AN, Gupta D. Efficacy and safety of conventional transbronchial needle aspiration in sarcoidosis: a systematic review and meta-analysis. Respir Care. 2013;58(4):683–693.
  • Dhooria S, Sehgal IS, Aggarwal AN, et al. Convex-probe endobronchial ultrasound: a decade of progress. Indian J Chest Dis Allied Sci. 2016;58(1):21–35.
  • Herth F, Becker HD, Ernst A. Conventional vs endobronchial ultrasound-guided transbronchial needle aspiration: a randomized trial. Chest. 2004;125(1):322–325.
  • Wallace MB, Pascual JM, Raimondo M, et al. Minimally invasive endoscopic staging of suspected lung cancer. JAMA. 2008;299(5):540–546.
  • Tremblay A, Stather DR, MacEachern P, et al. A randomized controlled trial of standard vs endobronchial ultrasonography-guided transbronchial needle aspiration in patients with suspected sarcoidosis. Chest. 2009;136(2):340–346.
  • Stoll LM, Yung RC, Clark DP, et al. Cytology of endobronchial ultrasound-guided transbronchial needle aspiration versus conventional transbronchial needle aspiration. Cancer Cytopathol. 2010;118(5):278–286.
  • Arslan Z, Ilgazli A, Bakir M, et al. Conventional vs. endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of mediastinal lymphadenopathies. Tuberk Toraks. 2011;59(2):153–157.
  • Gupta D, Dadhwal DS, Agarwal R, et al. Endobronchial ultrasound-guided transbronchial needle aspiration vs conventional transbronchial needle aspiration in the diagnosis of sarcoidosis. Chest. 2014;146(3):547–556.
  • Madan K, Dhungana A, Mohan A, et al. Conventional transbronchial needle aspiration versus endobronchial ultrasound-guided transbronchial needle aspiration, with or without rapid on-site evaluation, for the diagnosis of sarcoidosis: a randomized controlled trial. J Bronchology Interv Pulmonol. 2017;24(1):48–58.
  • Wahidi MM, Herth F, Yasufuku K, et al. Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration: CHEST Guideline and Expert Panel Report. Chest. 2016;149(3):816–835.
  • Aswanetmanee P, Limsuwat C, Kabach M, et al. The role of sedation in endobronchial ultrasound-guided transbronchial needle aspiration: systematic review. Endosc Ultrasound. 5(5): 300–306. 2016.
  • Dhooria S, Sehgal IS, Gupta N, et al. Diagnostic yield and complications of EBUS-TBNA performed under bronchoscopist-directed conscious sedation: single center experience of 1004 subjects. J Bronchology Interv Pulmonol. 24(1): 7–14. 2017.
  • Weerink MAS, Struys M, Hannivoort LN, et al. Clinical pharmacokinetics and pharmacodynamics of dexmedetomidine. Clin Pharmacokinet. 2017;56(8):893–913.
  • Barends CR, Absalom A, Van Minnen B, et al. Dexmedetomidine versus midazolam in procedural sedation. A systematic review of efficacy and safety. PLoS One. 12(1): e0169525. 2017.
  • Abouzgheib W, Littman J, Pratter M, et al. Efficacy and safety of dexmedetomidine during bronchoscopy in patients with moderate to severe COPD or emphysema. J Bronchology. 2007;14(4):233–236.
  • Lee K, Orme R, Williams D, et al. Prospective pilot trial of dexmedetomidine sedation for awake diagnostic flexible bronchoscopy. J Bronchology Interv Pulmonol. 2010;17(4):323–328.
  • Li H, Zhang N, Zhang K, et al. Observation of the clinical efficacy of dexmedetomidine in flexible bronchoscopy under general anesthesia: clinical case experience exchange. J Int Med Res. 2019;47(12):6215–6222.
  • Wu SH, Lu DV, Hsu CD, et al. The effectiveness of low-dose dexmedetomidine infusion in sedative flexible bronchoscopy: a retrospective analysis. Medicina (Kaunas). 2020;56(4):193.
  • Zhang H, Fang B, Zhou W. The efficacy of dexmedetomidine-remifentanil versus dexmedetomidine-propofol in children undergoing flexible bronchoscopy: a retrospective trial. Medicine (Baltimore). 2017;96(1):e5815.
  • Gao Y, Kang K, Liu H, et al. Effect of dexmedetomidine and midazolam for flexible fiberoptic bronchoscopy in intensive care unit patients: a retrospective study. Medicine (Baltimore). 2017;96(25):e7090.
  • Liao W, Ma G, Su QG, et al. Dexmedetomidine versus midazolam for conscious sedation in postoperative patients undergoing flexible bronchoscopy: a randomized study. J Int Med Res. 2012;40(4):1371–1380.
  • Ryu JH, Lee SW, Lee JH, et al. Randomized double-blind study of remifentanil and dexmedetomidine for flexible bronchoscopy. Br J Anaesth. 2012;108(3):503–511.
  • Goneppanavar U, Magazine R, Janardhana BP, et al. Intravenous dexmedetomidine provides superior patient comfort and tolerance compared to intravenous midazolam in patients undergoing flexible bronchoscopy. Pulm Med. 2015;2015:727530.
  • Shoukry RA. Safety and efficacy of dexmedetomidine sedation for elective fiberoptic bronchoscopy: a comparative study with propofol. Egypt J Anaesth. 2016;32(4):483–488.
  • Riachy M, Khayat G, Ibrahim I, et al. A randomized double-blind controlled trial comparing three sedation regimens during flexible bronchoscopy: dexmedetomidine, alfentanil and lidocaine. Clin Respir J. 2018;12(4):1407–1415.
  • St-Pierre P, Tanoubi I, Verdonck O, et al. Dexmedetomidine versus remifentanil for monitored anesthesia care during endobronchial ultrasound-guided transbronchial needle aspiration: a randomized controlled trial. Anesth Analg. 128(1): 98–106. 2018.
  • Kaur H, Dhooria S, Aggarwal AN, et al. A randomized trial of 1% vs 2% lignocaine by the spray-as-you-go technique for topical anesthesia during flexible bronchoscopy. Chest. 2015;148(3):739–745.
  • Rusch VW, Asamura H, Watanabe H, et al. The IASLC lung cancer staging project: a proposal for a new international lymph node map in the forthcoming seventh edition of the TNM classification for lung cancer. J Thorac Oncol. 2009;4(5):568–577.
  • Aitken RC. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969;62(10):989–993.
  • Ramsay MA, Savege TM, Simpson BR, et al. Controlled sedation with alphaxalone-alphadolone. Br Med J. 1974;2(5920):656–659.
  • Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth. 1995;7(1):89–91.

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