title: [Monitored Anesthesia Care for Respiratory Endoscopy].
abstract: Sedation and/or analgesia are required during respiratory endoscopy procedure to reduce the patient's anxiety, unpleasantness and pain. At present most of diagnostic respiratory endoscopy cases are carried out outside the operating room without the involvement of anesthesiologists in Japan. Inadequate anesthesia/sedation may cause patient's discomfort and/or serious injury. Anesthesiologists are expected to play a part in the sedation and analgesia education/training for nonanesthesiologists to ameliorate patient satisfaction and safety. Interventional endoscopy procedures are more invasive and painful than simple diagnostic ones for patients, and sometimes result in a crisis such as respiratory tract bleeding and airway obstruction. Since the number of interventional cases and high-risk patients will increase with the society aging, peri-procedure management by anesthesiologists or monitored anesthesia care will become popular in the future.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Sugawara
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Takeda
authors.forename: Gotaro
authors.initials: G
authors.lastname: Shirakami
mesh_terms: D000758:Anesthesia; D001999:Bronchoscopy / Q000379:methods; D006801:Humans; D008991:Monitoring, Physiologic; D011182:Postoperative Care; D011300:Preoperative Care