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Local and regional anesthesia for functional endoscopic sinus surgery
W C Lee1, T R Kapur, W N Ramsden
1Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, England.
The Annals of Otology, Rhinology, and Laryngology
|September 26, 1997
Summary
This study shows that combining cocaine paste with midazolam hydrochloride provides effective anesthesia for endoscopic sinus surgery. This technique led to excellent operative conditions, rapid recovery, and a low complication rate in 554 patients.
Area of Science:
- Anesthesiology
- Otolaryngology
- Surgical Innovation
Background:
- Functional endoscopic sinus surgery (FESS) requires effective anesthesia.
- Optimizing patient comfort and recovery is crucial for FESS procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of a topical anesthetic technique using 25% cocaine paste and intravenous midazolam hydrochloride for FESS.
- To assess patient outcomes, including operative field quality, patient disturbance, recovery time, and complication rates.
Main Methods:
- A cohort of 554 patients undergoing FESS received anesthesia via 25% cocaine paste and intravenous midazolam hydrochloride.
- Data collected included operative field quality, patient tolerance, recovery parameters, and complication incidence.
Main Results:
- The anesthetic technique provided excellent operative fields for FESS.
- Patients experienced minimal disturbance, rapid recovery from sedation, and same-day discharge eligibility.
- No anesthetic complications were recorded, and the major surgical complication rate was low at 0.5%.
Conclusions:
- The combination of 25% cocaine paste and midazolam hydrochloride is an effective and safe anesthetic approach for FESS.
- This technique facilitates efficient surgical procedures with favorable patient outcomes and a low complication profile.