Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery.
Endoscopic sinus approach has become one of the most common surgical techniques for endoscopic sinus and skull base surgery. Anesthetic management has an important impact on the overall patient management, from the preoperative assessment and management to the quality of the surgical field and the postoperative recovery. Hemostasis is critical for adequate anatomical endoscopic visualization. Mild controlled hypotension seems to improve the visibility of the surgical field. Reduction of intraoperative bleeding should be considered during the treatment planning. Preoperative preparations include the optimization of comorbidities and cessation of drugs that may inhibit coagulation.
Department of Anesthesiology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA; Department of Anesthesiology and Critical Care, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: mcordoba-amorocho@partners.org.
Martha Cordoba
MC
Amorocho
Department of Anesthesiology, Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA.
Iuliu
I
Fat
D000758:Anesthesia / Q000379:methods*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D010256:Paranasal Sinuses / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*
Anesthesia for endoscopic sinus and skull base surgery; Anesthesia review; Anesthetic techniques; Endoscopic sinus surgery; Endoscopic skull base surgery; Endoscopic surgery