Endobronchial
The medical term endobronchial ( e. B. ) Literally means "in the bronchus ", "in the lumen of the bronchus". It is often used to describe a form of drug application . This means the administration of medication through a tube after an endotracheal intubation . In emergency medicine z. B. Adrenaline and atropine are administered endobronchially as part of a resuscitation , if no venous access is available. Compared to intravenous administration, two to three times the amount is administered, which is also diluted with saline solution.
The advantage of the method is that the substances can be applied quickly and easily. An unsafe and irregular distribution and absorption of the drugs in the lungs can be considered a disadvantage. For this reason, in the resuscitation guidelines of the European Resuscitation Council of 2005, the intravenous administration of drugs is preferred to the endobronchial administration.
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- ↑ Schuttler J et al .: Endobronchial administration of adrenaline in preclinical cardiopulmonary resuscitation Anasth Intensivther Emergency Med. (1987); 22 (2): 63-8, PMID 3300406 .
- ↑ Nolan JP, Deakin CD, Soar J et al .: European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult advanced life support. (2005) Resuscitation. 67 Suppl 1: S39-86, PMID 16321716 .