Abstract

SANABRIA BOTELLO, Carlos Fernando; FERNANDEZ TRUJILLO, Ángela María; PALACIOS, Isabel  and  OCAMPO, Carmen Elisa. Complications of bronchial thermoplasty using laryngeal mask: case series. Rev. colomb. anestesiol. [online]. 2022, vol.50, n.1, e501.  Epub Jan 18, 2022. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e1008.

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.

Keywords : General anesthesia; Anesthetic complications; Laryngeal mask; Safety; Asthma; Bronchial thermoplasty.

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