ERAB在硬质支气管镜介入治疗中的应用

硬质支气管镜是开展呼吸内镜介入治疗的重要工具,可在直视下进行多种操作。硬质支气管镜介入下治疗需在全凭静脉麻醉和喷射通气下操作,麻醉在硬质支气管镜介入治疗中起到举足轻重的作用。基于加速康复外科的理念,笔者根据多年的临床经验和理论体系,提出加速康复支气管镜的理念。本文针对介入治疗的不同环节,从术前准备、麻醉、术中操作、术后观察等方面总结探讨治疗的最佳路径,提高硬质支气管镜围术期患者的安全性、舒适度,以促进患者术后快速康复。

Application of enhanced recovery after bronchoscopy in interventional rigid bronchoscopy

Rigid bronchoscopy is an important tool for bronchoscope intervention,which can be performed under direct vision for a variety of operations.Bronchoscope intervention should be operated under intravenous anesthesia and jet ventilation.Anesthesia plays an important role in bronchoscope intervention.Based on the concept of enhanced recovery after surgery and clinical experiences,the author proposed enhanced recovery after bronchoscopy to accelerate the rapid rehabilitation development of bronchoscope intervention.In view of bronchoscope intervention,this article summarizes and discusses the best way of rigid bronchoscopy treatment from preoperative preparation,anesthesia,intraoperative operation and postoperative observation to improve the safety and comfort of perioperative patients and promote postoperative recovery of patients.