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This study investigates the efficacy of different anesthesia methods (general anesthesia with laryngeal mask airway and local nebulized anesthesia) for transbronchial biopsy using an electronic bronchoscope. The study retrospectively analyzed cases of transbronchial biopsy performed at the Respiratory Endoscopy Center of Sichuan Provincial People's Hospital from June 5, 2020, to June 5, 2024. Data collected included age, gender, primary diagnosis, anesthesia method, biopsy method, operation time (excluding general anesthesia and laryngeal mask airway placement time), lesion location and size, pathological results, and follow-up status.
General anesthesia and local anesthesia are the primary anesthesia methods for interventional respiratory endoscopy. While general anesthesia offers greater comfort, it carries anesthesia-related risks. Local anesthesia, on the other hand, provides a relatively low surgical risk and cost-effectiveness. However, there is limited research on whether its diagnostic value is inferior to that of general anesthesia.This study investigates the efficacy of the two anesthesia methods (general anesthesia with laryngeal mask airway and local nebulized anesthesia) for transbronchial biopsy. The study retrospectively analyzed cases of transbronchial biopsy performed at the Respiratory Endoscopy Center of Sichuan Provincial People's Hospital from June 5, 2020, to June 5, 2024. Data collected included age, gender, primary diagnosis, anesthesia method, biopsy method(forcep/cryobiopsy), operation time (excluding general anesthesia and laryngeal mask airway placement time), lesion location and size, pathological results, and follow-up status(pneumothorax、hemorrhage).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General anesthesia | There all cases in this group where the surgical anesthesia method is general anesthesia |
| |
| Local anesthesia | There all cases in this group where the surgical anesthesia method is local anesthesia |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| general anesthesia | Procedure | Different anesthesia methods |
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| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic efficacy | The diagnostic positivity rate(%) of transbronchial biopsy under different anesthesia methods between two groups | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical information | age(year), gender(male/female), primary diagnosis(lung cancer/pneumonia or other) | baseline |
| lesion location (left/right/other) | Clinical information |
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Inclusion Criteria:
Exclusion Criteria:
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All patients who require biopsy to further clarify the nature of lung lesions
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| Name | Affiliation | Role |
|---|---|---|
| Guanghong G Zhou | Sichuan Academy of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sichuan Provincial People's Hospital | Chengdu | Sichuan | 610072 | China |
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| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| baseline |
| lesion size (mm) | Clinical information | baseline |
| Postoperative complications (hemorrhage or pneumothorax) | Clinical information | baseline |
| Operation time | Clinical information | intraoperative |