RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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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
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
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