PREMEDICATION AS A FIBROBRONCHOSCOPY SAFETY FACTOR

Abstract

Review article surveys premedication as one of the safety methods in flexible endoscopy. The traditional premedication provided technical convenience of bronchoscopy by sedation and secretion drying. This approach had become less justified since bronchoscopy was widely used in patients with severe somatic pathology. This new condition forced the usage of inhalation broncholytics (M-cholinolytics : and e2-agonists) which mainly have tracheobronchial impact and minimal systemic action, and parenteral gluco-corticosteroids with powerful broncholytic and definite cardioprotective effect. Parenteral ad-ministration of theophylline may be used in premedication with some restrictions.

Keywords

• flexible bronchoscopy
• premedication