Anaesthetic Concerns in Functional Endoscopic Sinus Surgery

Abstract

BACKGROUNDFunctional endoscopic sinus surgery provides a challenge and an opportunity for the anaesthesiologists to provide surgeons with a surgical field, which can make this delicate surgery more safe, fast and precise. The article discusses causes of bleeding in functional sinus surgery. MATERIALS AND METHODSIt focuses on various techniques and drugs, which can be used by anaesthesiologists to control bleeding. It also discusses the pros and cons of controlled hypotension during this surgery. Various techniques of local instillation of various drugs are discussed. RESULTSVarious drugs and techniques are compared and advantages and disadvantages of each are discussed. CONCLUSIONPremedication with various drugs, techniques of positioning and controlled hypotension are useful for control of bleeding in functional endoscopic sinus surgery.

Comparison of Dexmedetomidine with Midazolam during Monitored Care Anesthesia (MAC) in Patients Undergoing Septoplasty

“…2 MAC is also routinely used for different types of ENT procedures, which needs adequate sedation and pain control but no respiratory depression, as is required for the comfort of surgeons is such procedures. 3 For MAC induction, various drugs such as dexmedetomidine, midazolam, propofol, alfentanil etc. are used either alone or in combination.4, 5 Midazolam is…”