| Title |
Anestetiko įtaka operacinio lauko kokybei endoskopinėje prienosinių ančių chirurgijoje / |
| Translation of Title |
Influence of anesthetic on operative field quality in endoscopic paranasal sinus surgery. |
| Authors |
Činčikas, Darius ; Ivaškevičius, Juozas |
| DOI |
10.15388/LietChirur.2006.2.2274 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2006, t. 4, Nr. 2, p. 137-142.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
endoscopic sinus surgery ; intraoperative bleeding ; anesthesia |
| Abstract [eng] |
Objective. To compare intraoperative hemorrhage and the visibility of the operative field during endoscopic operations of accessory nasal sinuses when anesthesia is induced by isoflurane or propofol. Patients and methods. 27 patients of physical health state 1–3 according to American Society of Anesthesiologists (ASA) were examined. For 12 of them, anesthesia was induced by isoflurane and for 15 by propofol. All patients on the eve of the operation were premedicated with diazepam and on the day of operation received 5 mg of midazolam. Anesthesia was induced with fentanyl, a 50:50% mixture of oxygen and nitrous oxide, and doses of muscle relaxant. The head-bed of the operating table was raised at 10°. Hemorrhage was measured by collecting blood with a graded pump. The visibility of the operative field was evaluated according to the scale proposed by Fromme. Results. Hemorrhage volume in the propofol group was lower (273.3 ml) and the visibility of the operative field was better (2.43) than in the isoflurane group (333.3 ml and 2.8) (p < 0.05); there was no significant difference in arterial blood pressure and heart contractions between the groups. Conclusions. The proper choice of anesthetic can improve hemorrhage control and the visibility of the operative field during endoscopic operations of accessory nasal sinuses. Propofol improves the visibility of the operative field better than does isoflurane. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2006 |
| CC license |
|
