The Effect of the Total Intravenous Anesthesia Compared with Inhalational Anesthesia on the Surgical Field during Endoscopic Sinus Surgery

Wormald, Peter John; Renen, Graham van; Perks, J.; Jones, J.; Langton-Hewer, Claire D.

doi:10.1177/194589240501900516

Cited by 169 publications

(204 citation statements)

References 19 publications

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“…Eight studies compared the use of an intravenous analgesic drug to an inhaled agent: six prospective studies (17,20,23,25,27,28) and two retrospective studies (24,26) .…”

Section: D3) Studies Comparing Intravenous or Inhaled Central Nervousmentioning

confidence: 99%

“…To assess the VSF, most of the authors (2,12,(15)(16)(17)(19)(20)(21)(22)24,28) used the scale proposed by Fromme et al (18) and adapted the one described by Boezaart et al (19) . This assessment method is not sufficiently discriminatory.…”

Section: Can Preoperative Treatment Be Recommended?mentioning

confidence: 99%

“…Few studies took into account the operation time (2,9,10,(12)(13)(14)(15)20,22,23) . However, the surgery duration was found to be related to the VSF, which could be justified by the vasodilating effect that general anaesthetics have throughout the operation time.…”

Section: Can Preoperative Treatment Be Recommended?mentioning

confidence: 99%

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Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Valiente¹,

Fidalgo²,

Ortega³

2013

Rhin

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SummaryIn the literature various methods are described to reduce bleeding in endoscopic sinus surgery. Scientific evidence and results were gathered and analysed to determine the effectiveness of the various methods used. A total of 20 articles fulfilled the inclusion criteria. Two retrospective articles studied the differences between local and general anaesthesia. Three articles analysed the use of local methods to control bleeding. The majority of the articles analysed the use of different systemic drugs to control intraoperative bleeding.Certain procedures, such as the reverse Trendelenburg position, the use of high doses of epinephrine, the infiltration of phenylephrine and lidocaine into the pterygopalatine fossa, the preoperative use of prednisone, and the control of the heart rate (with dexmedetomidine or remifentanil), appear to reduce the intraoperative blood loss and/or improve the visualisation of the surgical field. However, the evidence supporting these conclusions is poor. The benefits of other procedures, such as the preoperative use of β-blockers, antihypertensive agents, and surgical pledgets with oxymetazoline, phenylephrine, or cocaine, for bleeding control are not evidenced in the literature. In addition, the literature does not present any evidence on the benefits of local anaesthesia compared with general anaesthesia or the use of propofol compared to inhaled analgesics in terms of intraoperative bleeding or complication rates.

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“…Eight studies compared the use of an intravenous analgesic drug to an inhaled agent: six prospective studies (17,20,23,25,27,28) and two retrospective studies (24,26) .…”

Section: D3) Studies Comparing Intravenous or Inhaled Central Nervousmentioning

confidence: 99%

Section: Can Preoperative Treatment Be Recommended?mentioning

confidence: 99%

See 1 more Smart Citation

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Valiente¹,

Fidalgo²,

Ortega³

2013

Rhin

View full text Add to dashboard Cite

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“…Therefore, FESS should be performed at a lower level of HR (20) as controlling HR is more effective on improving the surgical approach than lowering MAP. Compared with inhalation anesthesia, including isoflurane, sevoflurane, total intravenous anesthesia with propofol and remifentanil is able quickly and effectively to lower HR and MAP, reduce bleeding and provide an improved surgical approach (6)(7)(8)21,22). The reason for this is that inhalation anesthetics dilate blood vessels and cause reflex tachycardia (23).…”

Section: Discussionmentioning

confidence: 99%

Target‑controlled infusion of propofol and remifentanil combined with dexmedetomidine reduces functional endoscopic sinus surgery bleeding

Ding

Wang

et al. 2017

Exp Ther Med

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“…Initial studies have suggested that the intra-operative blood loss was reduced with propofol total intravenous anaesthesia (TIVA) compared to volatile agents. [16][17][18] However, more recent studies do not show significant difference. 19 Propofol has been shown to interact with the endocannabinoid system in the brain.…”

mentioning

confidence: 99%

Drug utilization review of general anaesthetic agents in a tertiary care hospital

R.G

Yadav

Pandey

2018

Int J Basic Clin Pharmacol

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Background: Drug utilization review plays a key role in helping the healthcare system to understand, interpret and improve the prescribing, administration and use of medications. The principle aim of drug utilization review was to facilitate rational use of drugs, which implies the prescription of a well documented drug in an optimal dose on the right indication.Methods: An observational study of anaesthetic practice was carried out in the department of Anaesthesiology in tertiary care hospital, Varanasi after approval from institutional ethical committee. The data of patients who underwent surgery under general anaesthesia were collected in predesigned patient profile form and were analyzed for drug utilization review.Results: 110 patients were enrolled with mean age 35.30±17.99 years and mean weight 51.32±15.32kg. Laparoscopic cholecystectomy (43.63%), otorhinolaryngology surgeries (36.36%), cardiothoracic vascular surgery (4.54%), neurosurgery (4.54%) and other surgeries (10.93%) required general anaesthetic agents were reviewed. Propofol (93.63%) and etomidate (6.36%) were used for induction of anaesthesia. Propofol (45.45%), isoflurane (53.63%), sevoflurane (0.90%) were administered for maintenance of anaesthesia in various surgeries. Adverse outcomes observed were hypotension (7.27%), bradycardia (6.36%), hypertension (3.63%) and post operative nausea and vomiting (PONV) (2.72%).Conclusions: Propofol is most commonly prescribed drug for induction of anaesthesia. Isoflurane is most commonly prescribed inhalational anaesthetic agent for maintenance of anaesthesia followed by Propofol. Hypotension is most common adverse outcome observed.

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The Effect of the Total Intravenous Anesthesia Compared with Inhalational Anesthesia on the Surgical Field during Endoscopic Sinus Surgery

Abstract: In patients undergoing ESS, TIVA results in a better surgical field than inhalational anesthesia.

Cited by 169 publications

References 19 publications

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Target‑controlled infusion of propofol and remifentanil combined with dexmedetomidine reduces functional endoscopic sinus surgery bleeding

Drug utilization review of general anaesthetic agents in a tertiary care hospital

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