The comparison of the influence of various types of anaesthesia on perioperative bleeding control in endoscopic paranasal sinus surgery
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 2
Abstract
SUMMARY Introduction: The study aimed at evaluating the influence of targeted hypotension with three types of anaesthetics on the amount of blood loss in extensive endoscopic operations of polyps of the nose and paranasal sinuses. Materia! and methods: Ninety patients, including 30 women aged 31-73 and 60 men aged 21-79, who were operated within the period of 2008-2010 at Department of Otolaryngology and Laryngological Oncology Military Medical Academy University Clinical Hospital in Lodz, were qualified for the study. The bilateral removal of nasal polyps, bilateral ethmoidectomy, and surgery or revision of the maxillary, sphenoid and temporal sinuses in endoscopy were conducted in each patient. Due to the type of general anaesthesia the patients were divided into three groups, 30 patients each: I — sevoflurane inhalation (sedation) and fentanyl I.V., II — sevoflurane inhalation (sedation) and remifentanil I.V. (analgesia), III — TIVA, propofol sedation and remifentanil analgesia. The drugs were administered via the infusion pomp TCI. Results: In group I the mean anaesthesia time was 108.67±20.80 min., group II — 112.63±22.17 min., group III — 103.67±17.47 min. The surgery time in the studied groups was as follows: I — 71.33±16.71 min, II — 78.83±24.24 min, III — 66.5±15.49 min. During the operation the mean blood loss was: group 1— 365±176.2 ml, group 11— 340±150.5 ml, group 111— 225±91.7 ml. During the operation the mean rate of blood loss was: group I — 5.118±2.38 ml/min, II — 4.507±2.215 ml/min, group III — 3.416±1.059 ml/min. Conclusions: In TIVA the advanced technologically control of a drug dose allows for a better control of hypotension, which, finally, results in lower haemorrhage within the operation area, a favourable condition for both a patient and a physician. Perioperative bleeding was independent on sex in every type of anaesthesia.
Authors and Affiliations
Jarosław Miłoński, Hanna Zielińska-Bliźniewska, Rafał Sobański, Jurek Olszewski
Keywords
Related Articles
- EP ID EP52454
- DOI -
- Views 82
- Downloads 0
Chondromyxoid fibroma of the nasal septum
Introduction: Chodromyxoid fibroma (CMF) is a rare benign tumor, typically occurring in the metaphysis of long bones. Involvement of craniofacial bones is extremely unusual. The histologic diagnosis of this tumor is diff...
The assessment of correlation between mean arterial pressure and intraoperative bleeding during endoscopic sinus surgery in patients with low heart rate
Induced controlled hypotension is a standard method aimed at decreasing intraoperative bleeding and achieving good operative field conditions. Low hemodynamic parameters during the operation are related to increased risk...
Epidemiology of non-malignant salivary gland tumours based on 675 cases
Neoplasm of salivary glands constitutes about 3% of all tumours of head and neck. Within the category we can differentiate tumours of a very different histological structure. What lies behind such great differences in th...
Recurrence in operated patients with laryngeal squamous cell carcinoma
Purpose: The aim of the present study was to investigate the recurrence prevalence in patients with laryngeal squamous cell carcinoma (LSCC) underwent surgery as primary treatment. Material: The assessed group consisted...
Sprawozdanie z zebrania Sekcji Otorynolaryngologii Chirurgii Glowy i Szyi UEMS (Europejskiej Unii Lekarzy Specjalistów)