Complications of bronchial thermoplasty using laryngeal mask: case series
Severe asthma affects more than 250 million people and represents high healthcare costs. Bronchial thermoplasty is a relatively new technique in interventional pulmonology for managing this condition. The procedure is done under general anesthesia and the patients are mostly ASA II and III; therefore, the anesthesia plan must be safe. The purpose of the article is to describe the anesthetic technique used (general anesthesia and laryngeal mask) and the immediate and early complications of the procedure. Four patients were included, each undergoing three sessions. The complications during and immediately after the procedure, as well as the early complications (up to seven days post-procedure) that could have required hospital management were discussed. In three of the sessions at least one acute bronchospasm event presented, but only one patient required hospital admission for more than 24 hours. Experience suggests that thermoplasty may be safely conducted under general anesthesia and laryngeal mask.
Mainardi AS, Castro M, Chupp G. Bronchial thermoplasty. Clin Chest Med. 2019;40:193-207. doi: https://doi.org/10.1016/j.ccm.2018.10.015
Kang J, Cho YS, Choi D, Lee JS, Oh Y, Lee S, et al. Bronchial thermoplasty in patients with severe uncontrolled asthma : First Korean cases. J Korean Med Sci. 2019;34(15):1-6. doi: https://doi.org/10.3346/jkms.2019.34.e120
Roberts A, Murrell M, Shostak E. New trends in interventional pulmonology. Curr Opin Anesth. 2017;30(1):17-22. doi: https://doi.org/10.1097/ACO.0000000000000414
Aizawa M, Ishihara S, Yokoyama T, Katayama K. Feasibility and safety of general anesthesia for bronchial thermoplasty: a description of early 10 treatments. J Anesth. 2018;(0123456789):1-4. doi: https://doi.org/10.1007/s00540-018-2485-9
Kern M, Kerner T, Tank S. Sedation for advanced procedures in the bronchoscopy suite: proceduralist or anesthesiologist ? Curr Opin Anesth. 2017;30(00):2-6. doi: https://doi.org/10.1097/ACO.0000000000000483
Tan LD, Yoneda KY, Louie S, Hogarth DK, Castro M. Bronchial thermoplasty: A decade of experience: State of the art. J Allergy Clin Immunol Pract. [Internet]. 2019;7(1):71-80. doi: https://doi.org/10.1016/j.jaip.2018.08.017
Nasim F, Vivek L. Bronchial thermoplasty‑an update. Ann Thorac Med. 2017;13(3):156-62.
Bonta P, Chanez P, Annema J, Shah P, Niven R. Bronchial thermoplasty in severe asthma: Best practice recommendations from an expert panel. Respiration. 2018;95:289-300. doi: https://doi.org/10.1159/000488291
Pavord ID, Cox G, Thomson NC, Rubin AS, Corris PA, Niven RM, et al. Safety and efficacy of bronchial thermoplasty in symptomatic, severe asthma. Am J Respir Crit Care Med. 2007;176(12):1185-91. doi: https://doi.org/10.1164/rccm.200704-571OC
de Lima A, Kheir F, Majid A, Pawlowski J. Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy. Can J Anaesth. 2018;65(7):822-36. doi: https://doi.org/10.1007/s12630-018-1121-3
Bates JHT. Physiological mechanisms of airway hyperresponsiveness in obese asthma mechanistic bases of AHR. Am J Respir Cell Mol Biol. 2016;54(5):618-23. doi: https://doi.org/10.1165/rcmb.2016-0019PS
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