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Objective: Current randomized clinical trial was conducted to compare the efficacy and side effects of dissociative conscious sedation and conscious sedation in patients under bronchoscopy. Methods: In this randomized clinical trial, 110 patients scheduled for Fiberoptic Bronchoscopy in a training hospital in 2012 were enrolled and randomly assigned to receive either SC ketamine plus IV fentanyl dissociative conscious sedation or placebo plus IV fentanyl conscious sedation and the efficacy and side effects were assessed and compared. Results: There was significant difference between systolic and diastolic blood pressure and heart rate in two groups and more stability was shown in dissociative conscious sedation group P < 0.05. Also the incidence of cough, the need to extra dose of fentanyl and recall showed less frequency in dissociative conscious sedation group P < 0.05. Conclusions: Totally, according to the obtained results, it may be concluded that Subcutaneous Dissociative Conscious Sedation sDCS in comparison to Conscious Sedation is significantly more efficient accompanied by less side effects in fiberoptic bronchoscopy and using this method is recommended. Implication of the Manuscript: The study was designed in order to evaluate the efficacy of subcutaneous Dissociative Conscious Sedation sDCS Method in fiberoptic bronchoscopy.

KEYWORDS

Subcutaneous Dissociative Conscious Sedation, Ketamine, Fiberoptic Bronchoscopy

Cite this paper

Javid, M. , Alinejad, Z. , Hajipour, A. and Khazaeipour, Z. 2015 Subcutaneous Dissociative Conscious Sedation sDCS an Alternative Method of Anesthesia for Fiberoptic Bronchoscopy. Open Journal of Anesthesiology, 5, 149-154. doi: 10.4236-ojanes.2015.57027.





Autor: Mihan J. Javid1*, Zoha Alinejad1, Asghar Hajipour1, Zahra Khazaeipour2

Fuente: http://www.scirp.org/



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