{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:13Z","timestamp":1753882813868,"version":"3.41.2"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p> Flexible video bronchoscopy is a procedure that plays an important role in diagnosing various types of pulmonary lesions and abnormalities. Case 1 is a 68-year-old male patient with a lesion in the right lung apex of approximately 4\u2009mm \u00d7 28\u2009mm with atelectasis bands due to a crash injury. High-flow system with 35 L\/min and fraction of inspired oxygen (FiO<jats:sub>2<\/jats:sub>) 0.45 and temperature of 34 \u00b0C was installed prior to the video bronchoscopy. SpO<jats:sub>2<\/jats:sub> was maintained at 98%\u2013100%. The total dose of sedative was 50\u2009mg of propofol. In Case 2, a 64-year-old male patient with bronchiectasis, cystic lesions and pulmonary fibrosis of the left lung field was placed on a high-flow system with 45\u2009L\/min and 0.35 FiO<jats:sub>2<\/jats:sub> at a temperature of 34 \u00b0C. SpO<jats:sub>2<\/jats:sub> was maintained at 100%. The total duration of the procedure was 25\u2009min; SpO<jats:sub>2<\/jats:sub> of 100% was sustained with oxygenation during maintenance time with the flexible bronchoscope within the airway. The total dose of propofol to reach the degree of desired sedation was 0.5\u20131\u2009mg\/kg. Both patients presented hypotension. For the patient of case 1, a vasopressor (norepinephrine at doses of 0.04 \u00b5g\/kg\/min) was given, and for the patient of case 2, only saline volume expansion was used. The video bronchoscopy with propofol sedation and high-flow nasal cannula allows adequate oxygenation during procedure in the intensive care unit. <\/jats:p>","DOI":"10.1177\/2050313x211061911","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T08:53:42Z","timestamp":1638953622000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of high-flow nasal cannula and intravenous propofol sedation while performing flexible video bronchoscopy in the intensive care unit: Case reports"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7778-0362","authenticated-orcid":false,"given":"Killen H","family":"Briones-Claudett","sequence":"first","affiliation":[{"name":"Faculty of Medical Sciences, University of Guayaquil, Guayaquil, Ecuador"},{"name":"Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador"},{"name":"Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica H","family":"Briones-Claudett","sequence":"additional","affiliation":[{"name":"Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador"},{"name":"Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertha","family":"L\u00f3pez Briones","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Killen H","family":"Briones Zamora","sequence":"additional","affiliation":[{"name":"Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador"},{"name":"Universidad Esp\u00edritu Santo, Samborond\u00f3n, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana C","family":"Briones Marquez","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, University of Guayaquil, Guayaquil, Ecuador"},{"name":"Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes A","family":"Orozco Holguin","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3701-3959","authenticated-orcid":false,"given":"Maria Fernanda","family":"Villavicencio","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Grunauer Andrade","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador"},{"name":"Pediatric Critical Care Unit, Hospital of the Valley, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"bibr1-2050313X211061911","volume":"2014","author":"Petrella F","year":"2014","journal-title":"Multimed Man Cardiothorac Surg"},{"key":"bibr2-2050313X211061911","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2012.05.008"},{"key":"bibr3-2050313X211061911","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-014-0712-9"},{"key":"bibr4-2050313X211061911","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.04.12"},{"key":"bibr5-2050313X211061911","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.12.020"},{"key":"bibr6-2050313X211061911","first-page":"506382","volume":"2012","author":"Lucangelo U","year":"2012","journal-title":"Crit Care Res 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