JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 62-64.doi: 10.6040/j.issn.1673-3770.0.2015.034

Previous Articles     Next Articles

Effects of total intravenous anesthesia on the bleed volume during endoscopic sinus surgery.

WANG Honggeng1, CHEN Dongsheng2, LIN Qun3, HUANG Fang4, HONG Yuming4, HUANG Jianqiang4   

  1. 1. Department of Anesthesiology, The Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian, China;
    2. Department of Anesthesiology, Fuzhou General Hospital of Nanjing Millitary Command, Fuzhou 350000, Fujian, China;
    3. Department of Anesthesiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, Fujian, China;
    4. Department of Otolaryngology, The Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian, China
  • Received:2015-01-13 Revised:2015-06-11 Online:2015-08-16 Published:2015-08-16

PDF (PC)

717

Abstract: Objective To explore the effect of total intravenous anesthesia on the bleed volume during endoscopic sinus surgery. Methods A total of sixty adult patients(ASAⅠ-Ⅱ), agreed to be on electively endoscopic sinus surgery, were randomly divided into two groups(group A and group B, n=30 each). All patients were injected intravenously with fentanyl, propofol and cisatracurium during the induction of general anesthesia. During the maintaince stage of the general anesthesia, patients in group A were injected intravenously with propofol and patients in group B were inhalated with sevoflurane until 5 minutes before the end of the operation. All patients were monitored with arterial blood pressure, were hepervolumic diluted and were performed with controlled hypotention 15 minutes before the operation. The arterial blood gas, blood lactate and coagulation function were monitored 30 minutes before the operation(T0), 30 minutes(T1) and 90 minutes after the operation (T2) and 30 minutes after the end of the operation(T3). Bleed volume and operation duration were recorded at the end of the operation. Results Comparing with those at T0, there was no significant difference in the arterial blood pressure, blood lactate and coagulation function at T1, T2 and T3. Bleed volume in group A was few than that in group B(P<0.05). There was no significant difference in the operation duration between the two groups. Conclusion During the endoscopic sinus surgery with intravenous anesthesia, the bleed volume is few than that with inhalation anesthesia.

Key words: Bleed volume, Endoscopic sinus surgical procedures, operative, Intravenous anesthesia, Controlled hypertension

CLC Number: 

  • R765.9
[1] 韩德民.鼻内镜外科学[M].北京:人民卫生出版社, 2001:122-123.
[2] 朱伟, 沈彤, 张旭文, 等.内窥镜鼻窦手术中的麻醉问题[J].临床耳鼻咽喉科杂志, 1997, 11(3):130-132. ZHU Wei, SHEN Tong, ZHANG Xuwen, et al. Aneathesia in endoscopic sinus surgery[J]. Clin J Otorhinolaryngol, 1997, 11(3):130-132.
[3] 李宏慧, 姚小宝, 李隨勤.鼻窦内镜手术术前术后的处理[J].山东大学耳鼻喉眼学报, 2009, 23(6):51-54. LI Honghui, YAO Xiaobao, LI Suiqin. Treatment of endoscopic sinus surgery before and after operation[J]. J Otolaryngol Ophthalmol Shandong Univ, 2009, 23(6):51-54.
[4] 赵春红, 李玉杰.全麻下鼻内镜治疗老年难治性鼻出血89例临床分析[J].山东大学耳鼻喉眼学报, 2013, 27(1):45-46. ZHAO Chunhong, LI Yujie. Treatment for aging patients with intractable epistaxis by nasal endoscopy under general anesthesia[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1):45-46.
[5] 焦赫娜, 任飞, 蔡宏伟, 等.不同方法控制性降压对鼻内镜手术患者内脏灌注及术中出血量的影响[J].南方医科大学学报, 2009, 29(6):1163-1169. JIAO Hena, REN Fei, CAI Hongwei, et al. Effect of controlled hypotension with different drugs combined with acute hypervolemic hemodilution on bleeding volume and gastrointestinal perfusion in nasal endoscopic surgery[J]. J First Milit Med Univ, 2009, 29(6):1163-1169.
[6] 胡晓云, 赵斌江, 赵植江, 等.急性高容量血液稀释联合控制性降压用于鼻内镜手术的观察[J].中华麻醉学杂志, 2003, 23(3):235-237. HU Xiaoyun, ZHAO Binjiang, ZHAO Zhijiang, et al. Acute Hypervolemic Hemodilution in combination with controlled hypotention in endoscopic surgery[J]. Chin J Anesth, 2003, 23(3):235-237.
[7] 张辉, 蒋海, 王钟兴, 等.比较七氟醚和丙泊酚对于内镜鼻窦手术术中出血的影响[J].中国实用医药, 2010, 5(23):8-9. ZHANG Hui, JIANG Hai, WANG Zhongxing, et al. Comparison of sevoflurane and propofol anesthesia on blood loss during endoscopic sinus surgery[J]. Chin Pract Med, 2010, 5(23):8-9.
[8] Langley M S, Heel R C. Propofol.A review of its pharmacodynamic and pharmacokinetic properties and use as an intravenous anaesthetic[J]. Drugs, 1988, 35(4):334-372.
[9] Degoute C S. Controlled hypotension:a guide to drug choice[J]. Drugs, 2007, 67(7):1053-1076.
[1] ZHU Jiang, LIU Taixiang, JIANG Bing. Changes in conjunctival sac microbiota before and after endoscopic dacryocystorhinostomy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 13-20.
[2] LIU Jiaxin, JIANG Ye, SONG Daoliang. Endoscopic transnasal fenestration for maxillary bone cysts: a report of nine cases and a review of the literature [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(2): 84-88.
[3] CHEN Kai, WANG Jun, TANG Yuedi. Nasal septum-nasal deformity surgery for correction of severe traumatic nasal deformity: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 121-124.
[4] Lijuan ZHAO,Yan JIANG,Longgang YU,Liang CAI,Min CHEN,Jisheng ZHANG,Zhiyuan LI,Jianbao JU,Na LI. Clinical analysis of endoscopic surgery for nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 51-56.
[5] Quan LIU,Xicai SUN,Huapeng YU,Keqing ZHAO,Huankang ZHANG,Weidong ZHAO,Yurong GU,Houyong LI,Dehui WANG,Hongmeng YU. Types of endoscopic transnasal nasopharyngectomy for nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 39-45.
[6] Qianhui QIU,Zhuo CHEN. Endoscopic surgery for the treatment of locally advanced nasopharyngeal carcinoma and serious complications after radiotherapy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 17-20.
[7] Yan JIANG. Recurrence of nasopharyngeal carcinoma and application of endoscopic surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 1-11.
[8] WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[9] CHEN Wangxing, ZHAO Xue, LIU Yan, LIU Yue, JIN Chunshun. Psychological status of patients with deviated nasal septum or chronic sinusitis with nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 24-27.
[10] WANG Lei, YUAN Ying, YU Xuemin, HAN Yue, WANG Ning, LI Xiao, LI Zejing, LI Long. Efficacy of the continuous suture technique in septoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 73-75.
[11] LIU Tingting, WANG Xuehai, CAI Xiaolan, TIAN Zejing, ZHANG Liqiang, LI Xuezhong. Excision of giant tumor in nasal floor involving palatine via oral-nasal combined approach under a nasal endoscope assisted: a report of 2 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 108-110.
[12] LIU Xiaojing, WANG Yuan, ZHANG Liqing, FENG Jian, ZHAO Qing, SONG Shenghua, ZHOU Han, DONG Weida. Analysis of paranasal sinus fibrous dysplasia in 36 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 73-78.
[13] LI Na. Beauty and function: nasal deformity repair and nasal septoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 1-2.
[14] TWU Chihwen. Application of rib cartilage in rhinoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 3-6.
[15] ZHU Li. Reconstruction of first-stage nasal bone fractures with nasal septum deviation using endoscopic guidance [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 7-9.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd