Is it safe to decrease hemodynamic parameters to achieve bloodless surgical field during transnasal endoscopic procedures? Our experience in fifteen patients

Sieśkiewicz, Andrzej; Lewczuk, Anna; Drozdowski, Andrzej; Łysoń, Tomasz; Rogowski, Marek; Mariak, Zenon

doi:10.1111/coa.12105

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Permanent brain damage, emboli in cerebral circulation, difficult awakening of the patient, and even death - all these complications might occur when hypotension is too deep [ 2 , 18 ]. The influence of controlled hypotension during endoscopic procedures on middle cerebral artery peak systolic velocity was additionally evaluated [ 19 ]. More than half of patients operated standard flow rate fell below the lower limit of normal and end-diastolic velocity was below the limit of even 60% of patients in these conditions, as is apparent from earlier studies could be a risk of ischemic brain tissue.…”

Section: Discussionmentioning

confidence: 99%

Can we use the ankle non-invasive blood pressure during otolaryngologic surgery: an observational study

Jaouhari¹,

Meziane²,

Kessouati³

et al. 2020

Pan Afr Med J

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Introduction In otolaryngologic surgery, ankle is frequently used for monitoring anesthesia in place of brachial when the patient doesn´t need invasive arterial cannulation. If there is a clinically useful and Predictable link between the two readings in hemodynamic normal patient, this difference during otolaryngologic surgery, was not evaluated. We aimed to investigate the reliability and the acceptability of non invasive blood pressure measurements at the ankle compared to those obtained concurrently at the arm during otolaryngologic surgery. Methods Eighty ASA grade I and II patients who had to be operated under general anesthesia were taken as subjects for our study. Blood pressures were measured simultaneously in the 2 limbs before induction and then every 10 minutes until the end of the surgical procedure. Readings were initiated concurrently. Statistical analysis was performed with PASW Statistics 13. Results There were 41 males (51.2 %) and 39 females (48.8 %). Bland-Altman analysis of mean difference between the ankle and arm (95 % limits of agreement) was -11.47 (- 23.77 to 0.82) mmHg for systolic blood pressure (SBP), -7.89 (-19.16 to 3.36) mmHg for diastolic blood pressure (DBP) and - 9.09 (18.19 to 0.00) mmHg for mean arterial pressure (MAP). Non-parametric analysis showed that 67.5 % of SBP, 46.2 % of DBP and 56.2 % of MAP measurements differed by > 10mmHg. Conclusion Ankle BP cannot be used routinely in otolaryngological surgery. Although, the ankle can be used as an alternative where the arm cannot be used taking into account a difference.

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Section: Discussionmentioning

confidence: 99%

Can we use the ankle non-invasive blood pressure during otolaryngologic surgery: an observational study

Jaouhari¹,

Meziane²,

Kessouati³

et al. 2020

Pan Afr Med J

View full text Add to dashboard Cite

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Transnasal endoscopic skull base surgery in the COVID-19 era: Recommendations for increasing the safety of the method

Łysoń

Kiśluk

Alifier

et al. 2021

Advances in Medical Sciences

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Laryngopharyngeal Reflux in Dysphonics—Understanding the Significance and the Efficacy of Clinical Diagnosis: A Case-based Study

Sebastian¹,

Kolethekkat²,

Mathew³

et al. 2014

International Journal of Phonosurgery &Amp; Laryngology

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Objective To determine the prevalence of laryngopharyngeal reflux (LPR) in patients with voice disorders and to find out the efficacy of reflux symptom index (RSI) and reflux finding score (RFS) in the diagnosis. Methods This prospective analytical study was conducted on 554 patients who presented with dysphonia and symptoms suspicious of LPR. They were then subjected to clinical work up based on symptomatic history based RSI and video stroboscopic RFS scoring criteria. The results were analyzed statistically. The differences between RSI and RFS were calculated by Fisher's two sided test and the comparison between the two is calculated using kappa statistics to check the strength of agreement. Results Among 554 patients, 457 (82.4%) patients were diagnosed to have LPR based on RSI score of more than 13. Among 448 (80.8%) patients RFS score was positive. Vocal nodule (23.64%), laryngitis (22.38%) and the vocal polyp (20.03%) constitute the majority, with a female preponderance in vocal nodule. Both RSI and RFS were poor or almost absent in conditions such as spasmodic dysphonia, tremors, vocal cord palsy, hemorrhage, functional aphonia and traumatic conditions. The Pearson correlation coefficient showed a good correlation and agreement between RSI and RFS was statistically significant. Conclusion The association of LPR in patients with voice disorders is significantly high. The RSI and RFS based clinical diagnosis is reliable and valid in the diagnosis of LPR as revealed in our study. How to cite this article Sebastian S, Kolethekkat AA, Mathew J, Gowri M. Laryngopharyngeal Reflux in Dysphonics— Understanding the Significance and the Efficacy of Clinical Diagnosis: A Case-based Study. Int J Phonosurg Laryngol 2014;4(1):5-9.

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Is it safe to decrease hemodynamic parameters to achieve bloodless surgical field during transnasal endoscopic procedures? Our experience in fifteen patients

Cited by 3 publications

References 15 publications

Can we use the ankle non-invasive blood pressure during otolaryngologic surgery: an observational study

Can we use the ankle non-invasive blood pressure during otolaryngologic surgery: an observational study

Transnasal endoscopic skull base surgery in the COVID-19 era: Recommendations for increasing the safety of the method

Laryngopharyngeal Reflux in Dysphonics—Understanding the Significance and the Efficacy of Clinical Diagnosis: A Case-based Study

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