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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Advantages of Propofol Anaesthesia in Endonasal Endoscopic Surgeries

 Sarika S Naik1 , Sudhir M Naik 2

 1Senior Resident, Department of Anaesthesia,Narayana Hrudayalaya, Bangalore.

2Associate Professor, Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka

Year: 2012, Volume: 2, Issue: 4, Page no. 207-211,
Views: 609, Downloads: 4
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Background: A complete hemostasis and clear visualization of the operative field anatomy during surgery is necessary for successful outcome of all nasal surgeries. Unless hypotensive methods are used general anaesthesia results in more blood loss which makes surgery difficult.

Design: Comparative case series analysis study done over 56 months between Jan 2007 to November 2011.

Materials and Methods: 562 cases of endoscopic sinus surgeries done for nasal polyposis, sinusitis and dacryocystitis were analyzed. Group A included cases done under local anaesthesia, Group B under general anaesthesia with propofol and Group C under general anaesthesia with halothane.

Result: A good operative field and hemostasis was seen with propofol anaesthesia compared to halothane and local infiltrative anaesthesia.

Conclusion: Propofol when used in general anaesthesia in nasal endoscopic surgeries significantly reduces the blood loss thereby improving the visibility of the endonasal structures and minimizes the chance of complications related these surgeries

<p><strong>Background: </strong>A complete hemostasis and clear visualization of the operative field anatomy during surgery is necessary for successful outcome of all nasal surgeries. Unless hypotensive methods are used general anaesthesia results in more blood loss which makes surgery difficult.</p> <p><strong>Design: </strong>Comparative case series analysis study done over 56 months between Jan 2007 to November 2011.</p> <p><strong>Materials and Methods: </strong>562 cases of endoscopic sinus surgeries done for nasal polyposis, sinusitis and dacryocystitis were analyzed. Group A included cases done under local anaesthesia, Group B under general anaesthesia with propofol and Group C under general anaesthesia with halothane.</p> <p><strong>Result: </strong>A good operative field and hemostasis was seen with propofol anaesthesia compared to halothane and local infiltrative anaesthesia.</p> <p><strong>Conclusion:</strong> Propofol when used in general anaesthesia in nasal endoscopic surgeries significantly reduces the blood loss thereby improving the visibility of the endonasal structures and minimizes the chance of complications related these surgeries</p>
Keywords
nasal endoscopic surgery, Propofol, Halothane, local anaesthesia
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