Flexible bronchoscopy under sedation in older patients

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K19282
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: General internal medicine(including psychosomatic medicine)
• Research Institution: Nagoya University
• Principal Investigator: Okachi Shotaro 名古屋大学, 医学部附属病院, 病院助教 (30742407)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 高齢者 / 気管支鏡 / 鎮静

Outline of Final Research Achievements

Respiratory diseases such as lung cancer are a disease that is likely to occur in the elderly, and bronchoscopy is often required for diagnosis. There are adverse events in bronchoscopy and sedation to relieve pain, especially concerning elderly people. We examined the safety and usefulness of bronchoscopy under sedation using midazolam in the elderly during the research period and examined appropriate sedation method. We administered adjusted dose of midazolam according to age and body weight. As a result, comparison was made between elderly people aged 80 years or over and those aged 79 years or younger, no obvious difference in diagnostic rate and complication rate of bronchoscopy was observed. We demonstrated the safety and efficacy of bronchoscopy under sedation with midazolam even in elderly patients.

Free Research Field

呼吸器内科学