Anesthesia Care for the Professional Singer

Meacham, Ryan K.; Schindler, Joshua S.

doi:10.1016/j.anclin.2015.02.012

Cited by 8 publications

(7 citation statements)

References 36 publications

(28 reference statements)

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“…Anesthesia for ENT surgery is one of the keys to ensure successful surgery. Surgical anesthesia requires the selection of appropriate anesthetic methods and drugs [18][19][20]. As tracheal intubation and surgery are accompanied by varying degrees of anesthesia and muscle relaxation, the inevitable residual neuromuscular blockade after surgery possesses a challenge to surgical anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of the Anesthesia Effect of Cisatracurium Besylate and Mivacurium Chloride Otolaryngology Surgery

Shi-bin

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. The aim is to investigate and compare the anesthesia effect of cisatracurium besylate and mivacurium chloride otolaryngology surgery. Materials and Methods. 108 patients who underwent ENT surgery under general anesthesia in our hospital from November 2021 to March 2022 were recruited for retrospective analysis, in which patients in the experimental group A were anesthetized with cisatracurium besylate and patients in the experimental group B were anesthetized with mivacurium, and the anesthetic effects and recovery of the two groups were compared and analyzed. Results. There was no significant difference in mean arterial pressure, heart rate, and pulse oximetry levels between the two groups at the six time points of admission, anesthesia induction, intubation, end of operation, recovery of consciousness, and extubation (all P > 0.05 ). The train of four stimulation values at end of operation, recovery of consciousness, and extubation were significantly higher than those of the experimental group A (all P > 0.05 ). The recovery time of self-consciousness, extubation time, and eye-opening time of the experimental group B were significantly shorter than those of the experimental group A, and the occurrence of agitation was significantly less than that of the experimental group A (all P > 0.05 ). The total incidence of adverse conditions in the experimental group B was significantly lower than that in the experimental group A ( P > 0.05 ). Conclusion. Compared with cisatracurium besylate in otolaryngology surgery, mivacurium chloride anesthesia offers a promising route with respect to less impact on hemodynamics, faster postoperative recovery, absence of the accumulation of neuromuscular blockade, less adverse reactions, and higher safety.

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Section: Discussionmentioning

confidence: 99%

Comparative Analysis of the Anesthesia Effect of Cisatracurium Besylate and Mivacurium Chloride Otolaryngology Surgery

Shi-bin

2022

Evidence-Based Complementary and Alternative Medicine

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“…[ 33 ] Though not specifically studied here, SGA may also be helpful in special populations where intubation is often avoided, like for professional singers. [ 34 ] Although there is a commonly held concern among anesthesiologists that performing TEE with SGA may lead to dislodgement, and potential aspiration risk, multiple studies have demonstrated that this technique does not meaningfully interfere with safe airway management. [ 13 15 33 ] Our findings add to the growing body of literature supporting the safety and efficacy of TEE use with SGA.…”

Section: Discussionmentioning

confidence: 99%

Supraglottic airway versus endotracheal tube for transesophageal echocardiography guided watchman procedures

et al. 2021

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“…The occurrence of complications, such as local structural changes of the vocal tract -viscosity, oedema, stiffness, and vibration properties-or sup-optimal muscular support, is directly related to traumatic manipulation of the air passage or to pharmacological effects from anaesthetics and neuromuscular relaxants. 3 However, the preparation must be done well before the approach through the air passage on the operating table and a phase-based view of the practical guidelines to be implemented is followed. Thus, in the pre-operative phase: patients must be informed of the expected recovery period after the surgery and what symptoms to watch out for and when to seek assistance for them.…”

Section: Discussionmentioning

confidence: 99%

“…active smoker, obesity) can influence this risk. 3,4 Anaesthesia for voice professionals is a challenge for anaesthesiologists, requiring excellent anaesthetic technique as well as perioperative management and planning.…”

Section: Introductionmentioning

confidence: 99%

“…5 In the clinical case being studied, it is important to note that the surgery was related to the abdomen, a structure that plays an essential role in the performance and cinematic aspects of classical singers and post-operative abdominal pain proves decisive for vocal respiratory support. 3 This article aims to review the best anaesthetic approach for voice professionals, based on a practical case.…”

Section: Introductionmentioning

confidence: 99%

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Voice professionals and associated anaesthetic risk: a proposal to a perioperative airway-protective care bundle

Fonseca¹,

Silva²,

Bento³

et al. 2018

JACCOA

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Background: Voice professionals subjected to surgical procedures or anaesthesia are particularly susceptible, considering the multi-factor potential for damaging the vocal system. Such injuries are the most common reasons for anaesthetic morbidity and have even more serious repercussions for singers. Surgery in the abdominal region is singularly important, considering the vital role that abdominal support plays for respiratory dynamics and vocalisation. Perioperative management and planning and strict anaesthetic practices are fundamental for minimising this risk and promoting an optimum clinical outcome. The lack of guidelines adapted to this context justifies the need to gather together and review all existing evidence, which this case study aims to do. Case presentation: The clinical case concerns a 46year old female, a light opera singer, admitted for laparoscopic cholecystectomy. It describes the ample pre-anaesthetic assessment and education and lists the protective technical and pharmacological choices adopted during the surgery. The subsequent follow-up serves as the starting point for reflecting on the results obtained, preparing a suggested sequential approach for each perioperative stage. Conclusion: Even though vocal damage depends on the surgical and anaesthetic approach during the operation, anaesthesia for voice professionals requires rigorous planning beforehand, often being more complex than the surgical procedure. A multifaceted intervention including counselling, less invasive anaesthetic practices and systematic follow-up promote the key strategy – overall protection.

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Anesthesia Care for the Professional Singer

Cited by 8 publications

References 36 publications

Comparative Analysis of the Anesthesia Effect of Cisatracurium Besylate and Mivacurium Chloride Otolaryngology Surgery

Comparative Analysis of the Anesthesia Effect of Cisatracurium Besylate and Mivacurium Chloride Otolaryngology Surgery

Supraglottic airway versus endotracheal tube for transesophageal echocardiography guided watchman procedures

Voice professionals and associated anaesthetic risk: a proposal to a perioperative airway-protective care bundle

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