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In-office vasovagal response after rhinologic manipulation
Brian M Radvansky1, Qasim Husain, Deepa V Cherla
1Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ 07103, USA.
International Forum of Allergy & Rhinology
|November 30, 2012
Summary
Vasovagal response (VVR) during in-office sinus procedures is rare, affecting 0.16% of patients. Most patients recover quickly and complete their procedure, but preparedness for management is crucial for rhinologists.
Area of Science:
- Otolaryngology
- Rhinology
- Minimally Invasive Surgery
Background:
- In-office endoscopic sinus procedures are increasing.
- Rhinologists must manage potential complications independently.
- Vasovagal response (VVR) is a potential complication during these procedures.
Purpose of the Study:
- To review the experience with in-office VVR.
- To identify risk factors for VVR.
- To propose a management algorithm for in-office VVR.
Main Methods:
- Retrospective analysis of 4973 patients undergoing in-office endoscopic procedures.
- Identification and review of 8 patients who experienced VVR.
- Analysis of demographic data, diagnoses, procedures, and outcomes.
Main Results:
- The incidence of VVR was 0.16% (8 out of 4973 patients).
- 87.5% of patients recovered within 30 minutes and completed their procedure.
- Common comorbidities included hypercholesterolemia, hypertension, and benign prostatic hyperplasia.
Conclusions:
- The incidence of VVR during rhinologic procedures is low.
- Rhinologists must be familiar with VVR and prepared for its management.
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