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Updated: May 30, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Reduction of intraoperative bleeding during functional endoscopic sinus surgery].
Andrzej Drozdowski1, Andrzej Sieśkiewicz, Andrzej Siemiatkowski
1Klinika Anestezjologii i Intensywnej Terapii, Uniwersytet Medyczny w Białymstoku. optymista678@wp.pl
Anestezjologia Intensywna Terapia
|July 27, 2011
Summary
Minimizing bleeding during functional endoscopic sinus surgery (FESS) is crucial for clear visualization. A new anesthesia technique using propofol, remifentanil, and esmolol effectively reduces heart rate and blood pressure for optimal surgical conditions.
Area of Science:
- Otolaryngology
- Anesthesiology
- Surgical Technology
Context:
- Functional endoscopic sinus surgery (FESS) requires a clear operating field for visualization.
- Minimizing intraoperative bleeding is critical to prevent endoscope obstruction.
- Existing methods for bleeding control have limited efficacy and significant side effects.
Purpose:
- To evaluate a novel anesthetic approach for improving surgical conditions in FESS.
- To assess the efficacy of combining propofol, remifentanil, and esmolol for bleeding control.
- To determine if reduced heart rate and moderate hypotension enhance operative field clarity.
Summary:
- A combination of total intravenous anesthesia with propofol and remifentanil, alongside esmolol, was employed.
- This anesthetic regimen successfully reduced heart rate to approximately 60 bpm.
- Moderate hypotension (MAP 65 mm Hg) was achieved, leading to excellent operative conditions.
Impact:
- This approach offers an effective method for securing a dry operative field during FESS.
- It potentially reduces complications associated with inadequate visualization and bleeding.
- The underlying mechanisms involve altered microcirculation and reduced cardiac output.
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