Abstract
• General anesthesia using total intravenous anesthesia (TIVA) with propofol and remifentanyl may improve endoscopic vision in the surgical field.
• TIVA may provide patients with a better postoperative recovery period due to the antiemetic effects of propofol and the decreased hangover effect due to the fast metabolism of these two drugs.
• If TIVA is unavailable, the use of inhaled anesthetics should be minimized to avoid vasodilation with reflex tachycardia, which may worsen the surgical field.
• Perioperative beta-blockers may also be useful in improving the quality of vision in the surgical field. The use of these drugs should be discussed preoperatively with an anesthesiologist.
• Both inhaled anesthetics and propofol infusions degrade platelet function, which may contribute to an overall worsening of the quality of vision in the surgical field over time.
• Local injections are safe and reliable methods to enhance visualization in the surgical field.
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Leight, W., Senior, B. (2008). Anesthetic Choices, Techniques, and Injections. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_9
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DOI: https://doi.org/10.1007/978-3-540-78931-4_9
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