scholarly journals Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia -A case report-

2013 ◽  
Vol 64 (4) ◽  
pp. 367 ◽  
Author(s):  
Jung Man Park ◽  
Young-Chul Park ◽  
Jong Nam Lee ◽  
Jun Seok Bae ◽  
Shin Kyu Kang
1992 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
John A. Fornadley ◽  
Kevin S. Kennedy ◽  
Joseph F. Wilson ◽  
Peter T. Galantich ◽  
Gregg S. Parker

Controversy continues concerning the optimal anesthetic technique when completing endoscopic sinus surgery. To attempt to investigate the results using different anesthetic techniques, experience with endoscopic sinus surgery over 12 months (233 cases) was retrospectively reviewed. The use of local anesthetic injection with or without regional blocks (specifically ethmoid and greater palatine) was evaluated, as was the choice of general anesthesia versus local technique in a context of blood loss, patient comfort, and complications. Regional block technique appears to add morbidity for little additional benefit. Endoscopic sinus surgery may be performed safely in appropriately selected patients using either general anesthesia or local infiltration with sedation.


2019 ◽  
Vol 133 (2) ◽  
pp. 157-160
Author(s):  
A J Millington ◽  
V Perkins ◽  
M A Salam

AbstractBackgroundAutoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.Case reportThis paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously.ConclusionA literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.


2010 ◽  
Vol 59 (1) ◽  
pp. 49 ◽  
Author(s):  
Hyo Sang Im ◽  
Kwang-Rae Cho ◽  
Chee-Mahn Shin ◽  
Young Jae Kim ◽  
Young-Kyun Choe ◽  
...  

2003 ◽  
Vol 17 (2) ◽  
pp. 83-85 ◽  
Author(s):  
Robert R. Gaiser ◽  
Daphne J. Demetry ◽  
Rodney Schlosser

Background Functional endoscopic sinus surgery is frequently performed during conscious sedation not provided by an anesthesiologist. Several monitors are used during conscious sedation, one of which is the electrocardiogram (EKG). Equipment used in the operating room may interfere with the EKG tracing. Methods A 30-year-old man underwent his fourth functional endoscopic sinus surgery during general anesthesia. For the procedure, a Xomed Straight Shot microdebrider was used. Results Because of stray electrical current, the use of the microdebrider caused the EKG waveform to resemble ventricular tachycardia. Conclusion This case alerts the clinician to this possible occurrence to prevent inappropriate therapeutics from being initiated.


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