Survey of anesthesiologists on anesthetic maintenance techniques and total intravenous anesthesia for endoscopic sinus surgery.

Tytuł:: Survey of anesthesiologists on anesthetic maintenance techniques and total intravenous anesthesia for endoscopic sinus surgery.
Autorzy:: Yoshiyasu Y; Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX.; Department of Anesthesiology, University of Texas Health Science Center San Antonio, San Antonio, TX.
Lao VF; Department of Anesthesiology, University of Texas Health Science Center San Antonio, San Antonio, TX.
Schechtman S; Department of Anesthesiology, Michigan Medicine-University of Michigan Medical School, Ann Arbor, MI.
Colquhoun DA; Department of Anesthesiology, Michigan Medicine-University of Michigan Medical School, Ann Arbor, MI.
Dhillon S; Department of Anesthesiology, Virginia Commonwealth University, Richmond, VA.
Chen PG; Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX.
Źródło:: International forum of allergy & rhinology [Int Forum Allergy Rhinol] 2020 Feb; Vol. 10 (2), pp. 153-158. Date of Electronic Publication: 2019 Dec 02.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Original Publication: Hoboken : Published for ARS-AAOA by Wiley-Blackwell
MeSH Terms:: Anesthesia, Inhalation*
Anesthesia, Intravenous*
Anesthesiologists*
Endoscopy/*methods
Paranasal Sinuses/*surgery
Humans ; Surveys and Questionnaires
References:: J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686)
Am J Otolaryngol. 1993 Jul-Aug;14(4):262-6. (PMID: 8214320)
Cochrane Database Syst Rev. 2014 Jun 17;(6):CD003843. (PMID: 24937564)
Am J Rhinol. 2005 Sep-Oct;19(5):514-20. (PMID: 16270608)
Anesth Analg. 2016 Jan;122(1):70-8. (PMID: 26516798)
Mil Med. 2015 Mar;180(3 Suppl):96-103. (PMID: 25747640)
BMC Med Res Methodol. 2015 Apr 09;15:32. (PMID: 25888346)
Can J Anaesth. 1995 May;42(5 Pt 1):373-6. (PMID: 7614641)
Laryngoscope. 2003 Aug;113(8):1369-73. (PMID: 12897561)
Anesth Analg. 2004 Mar;98(3):632-41, table of contents. (PMID: 14980911)
JAMA. 1999 Oct 20;282(15):1458-65. (PMID: 10535437)
Int Forum Allergy Rhinol. 2013 Jun;3(6):482-7. (PMID: 23255493)
Anesthesiology. 2001 Sep;95(3):616-26. (PMID: 11575532)
Anesth Analg. 2016 Jan;122(1):86-9. (PMID: 26516800)
Int Forum Allergy Rhinol. 2013 Oct;3(10):848-54. (PMID: 23843351)
Int Forum Allergy Rhinol. 2013 Jun;3(6):474-81. (PMID: 23258603)
Laryngoscope. 2016 Sep;126(9):1961-2. (PMID: 26865125)
Laryngoscope. 2010 Mar;120(3):635-8. (PMID: 20058315)
Int Forum Allergy Rhinol. 2012 Jan-Feb;2(1):34-9. (PMID: 22311839)
Grant Information:: T32 GM103730 United States GM NIGMS NIH HHS; T32GM103730 (DAC) United States GM NIGMS NIH HHS
Contributed Indexing:: Keywords: TIVA; education; endoscopic sinus surgery; inhalational anesthesia; total intravenous anesthesia
Entry Date(s):: Date Created: 20191204 Date Completed: 20210205 Latest Revision: 20210205
Update Code:: 20240104
PubMed Central ID:: PMC7275371
DOI:: 10.1002/alr.22500
PMID:: 31793216
: Czasopismo naukowe

Pełny tekst

Background: Inhalational anesthesia and total intravenous anesthesia (TIVA) are techniques used for maintenance of general anesthesia for endoscopic sinus surgery (ESS). Growing evidence exists that TIVA may be associated with decreased bleeding and improved surgical fields, yet data suggest it is used in a minority of sinus surgery cases. The objective of this study was to investigate perceptions and approaches to anesthetic maintenance techniques in ESS among anesthesia providers.
Methods: A total of 719 anesthesiology residents, faculty, and certified registered nurse anesthetists (CRNAs) at 3 tertiary academic centers in the United States were invited to participate in a survey of considerations and practice patterns for inhalational anesthesia and TIVA for ESS.
Results: Responses were received from 200 participants (28%). Sixty-five percent of respondents reported a lack of familiarity with current literature on TIVA for ESS. Many considered factors other than surgical field visualization when choosing a maintenance technique. Most were comfortable with performing TIVA but stated they would participate in additional training.
Conclusion: The majority of anesthesiology providers were unaware of the existing literature demonstrating advantage in improved surgical visualization with TIVA. Many used a combination of inhaled and intravenous anesthetics for maintenance. These findings suggest that future opportunities may exist to develop education, training, and practice approaches specific to anesthetic techniques for ESS.
(© 2019 ARS-AAOA, LLC.)

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