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Anästhesie in der Hals-Nasen-Ohrenheilkunde

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Zusammenfassung

In der Hals-Nasen-Ohren-Heilkunde wird ein breites Patientenspektrum angetroffen, von Kindern bis zu älteren, multimorbiden Patienten, bei denen oft ein jahrelanger Nikotin- und/oder Alkoholabusus vorliegt. Das zeitliche Spektrum der operativen Verfahren ist breit: kurze, nur wenige Minuten dauernde Routineeingriffe wechseln sich mit langwierigen und anspruchsvollen Operationen ab, die sich über Stunden erstrecken können. Zudem werden Notfallsituationen in der HNO-Heilkunde, bei denen durch die unmittelbare Beteiligung der oberen Atemwege rasch schwerwiegende Folgen wie Hypoxie oder Tod drohen, in diesem Kapitel erörtert.

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Literatur

  1. Kisch-Wedel H (2014) Transtracheale Jetventilation-eine unterschätzte Option. Anästh Intensivmed 55:S445

    Google Scholar 

  2. Boenninghaus HG (1996) Hals-Nasen-Ohrenheilkunde für Studierende der Medizin, 10. Aufl. Springer, Berlin

    Book  Google Scholar 

  3. Mallampati SR, Gatt SP, Gugino LD et al (1985) A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 32:429–434

    Article  CAS  PubMed  Google Scholar 

  4. Samsoon GL, Young JR (1987) Difficult tracheal intubation: a retrospective study. Anaesthesia 42:487–490

    Article  CAS  PubMed  Google Scholar 

  5. Arne J, Descoins P, Fusciardi J et al (1998) Preoperative assessment for difficult intubation in general and ENT surgery: predictive value of a clinical multivariate risk index. Br J Anaesth 80:140–146

    Article  CAS  PubMed  Google Scholar 

  6. Benumof JL, Scheller MS (1989) The importance of transtracheal jet ventilation in the management of the difficult airway. Anesthesiology 71:769–778

    Article  CAS  PubMed  Google Scholar 

  7. Chandradeva K, Palin C, Ghosh SM, Pinches SC (2005) Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema. Br J Anaesth 94:683–686

    Article  CAS  PubMed  Google Scholar 

  8. Fritzsche K, Osmers A (2010) Anesthetic management in laryngotracheal surgery. High-frequency jet ventilation as strategy for ventilation during general anesthesia. Anaesthesist 59:1051–1061

    Article  CAS  PubMed  Google Scholar 

  9. Todesco JM, Williams RT (1988) Percutaneous transtracheal high-frequency jet ventilation as an aid to fiberoptic intubation. Anesthesiology 68:298–299

    Article  CAS  PubMed  Google Scholar 

  10. Eriksson LI, Sundman E, Olsson R et al (1997) Functional assessment of the pharynx at rest and during swallowing in partially paralyzed humans: simultaneous videomanometry and mechanomyography of awake human volunteers. Anesthesiology 87:1035–1043

    Article  CAS  PubMed  Google Scholar 

  11. El-Orbany M, Ramez Salem M (2013) Endotracheal tube leaks: causes, consequences, and management. Anesth Analg 117:428–434

    Article  PubMed  Google Scholar 

  12. Petring OU, Adelhøj B, Jensen BN, Pedersen N, Lomholt N (1986) Prevention of aspiration due to leaks around cuffs of endotracheal tubes. Anesth Analg 65:777–780

    Article  CAS  PubMed  Google Scholar 

  13. Piltcher O, Lavinsky M, Lavinsky J, de Oliveira Basso PR (2007) Effectiveness of hypopharyngeal packing during nasal and sinus surgery in the prevention of PONV. Otolaryngol Head Neck Surg 137:552–554

    Article  PubMed  Google Scholar 

  14. von Ungern-Sternberg BS, Boda K, Chambers NA et al (2010) Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. Lancet 376:773–783

    Article  Google Scholar 

  15. Khemani RG, Randolph A, Markovitz B (2009) Corticosteroids for the prevention and treatment of postextubation stridor in neonates, children and adults. Cochrane Database Syst Rev 3:1–32. doi:10.1002/14651858

    Google Scholar 

  16. Ochoa ME, Marin MC, Frutos-Vivar F et al (2009) Cuff-leak test for the diagnosis of upper airway obstruction in adults: a systematic review and meta-analysis. Intensive Care Med 35:1171–1179

    Article  PubMed  Google Scholar 

  17. Georgi R, Henn-Beilharz A, Ullrich W, Kienzle F (1999) Anästhesie in der Zahn-, Mund-, Kiefer- und Gesichtschirurgie, der Hals-, Nasen- und Ohrenheilkunde und in der Augenchirurgie. Teil 1: Allgemeine Aspekte und spezifische Aspekte in der Zahn-, Mund-, Kiefer- und Gesichtschirurgie. Anasthesiol Intensivmed Notfallmed Schmerzther 34:45–65

    Article  CAS  PubMed  Google Scholar 

  18. Donlon JV Jr, Doyle DJ, Feldman MA (2005) Anesthesia and eye, ear, nose and throat surgery. In: Miller RD (Hrsg) Anesthesia, 6. Aufl. Elsevier Churchill Livingstone, Philadelphia, S 2527–2556

    Google Scholar 

  19. Theissing J (1996) HNO-Operationslehre, 3. Aufl. Thieme, Stuttgart

    Google Scholar 

  20. Walz KM (2001) Die Tracheostomie. Indikationen, Methoden, Risiken. Chirurg 72:1101–1110

    Article  CAS  PubMed  Google Scholar 

  21. Jaquet Y, Monnier P, Van Melle G et al (2006) Complications of different ventilation strategies in endoscopic laryngeal surgery: a 10-year review. Anesthesiology 104:52–59

    Article  PubMed  Google Scholar 

  22. Weisberger EC, Emhardt JD (1996) Apneic anesthesia with intermittent ventilation for microsurgery of the upper airway. Laryngoscope 106:1099–1102

    Article  CAS  PubMed  Google Scholar 

  23. Otteni JC, Pottecher T, Bronner G, Flesch H, Diebolt JR (1983) Prolongation of the Q-T interval and sudden cardiac arrest following right radical neck dissection. Anesthesiology 59:358–361

    Article  CAS  PubMed  Google Scholar 

  24. Schwengel DA, Sterni LM, Tunkel DE, Heitmiller ES (2009) Perioperative management of children with obstructive sleep apnea. Anesth Analg 109:60–75

    Article  PubMed  Google Scholar 

  25. Baburi D, Schlöndorff G (2009) Lebensbedrohliche und tödliche Tonsillektomie-Nachblutungen. Dissertation, TU Aachen, S 1–100. http://publications.rwth-aachen.de/record/51537/files/Baburi_Diwa.pdf. Zugegriffen am 22.05.2017

  26. Österreichische Gesellschaft für HNO und Kinder-und Jugenheilkunde (2007) Gemeinsame Empfehlung zur Entfernung der Gaumenmandel. S 1–14. http://www.hno.at/fileadmin/hno/pdfs/Konsensuspapier_Tonsillektomie_HNO_OEGKJ_9Nov2007.pdf. Zugegriffen am 22.05.2017

  27. Reinhardt D (2000) Erkrankungen der Atemwegsorgane. In: Koletzko B (Hrsg) Kinderheilkunde, 11. Aufl. Springer, Berlin/Heidelberg, S 449–457

    Google Scholar 

  28. Schippel P, Wild L (2000) Analgosedierung und Sedierung für diagnostische Eingriffe im Kindesalter (Stillhaltenarkose). In: Deutsche Akademie für Anästhesiologische Fortbildung (Hrsg) Aktuelles Wissen für Anästhesisten: Refresher Course 26. Springer, Berlin/Heidelberg, S 155–165

    Google Scholar 

  29. Fennessy BG, O’Connor R, Cronin M, Fenton JE, Hughes JP (2010) Safety implications of the Boyle-Davis mouth gag and tracheal tube position in tonsillectomy. Br J Anaesth 105:863–866

    Article  CAS  PubMed  Google Scholar 

  30. Sanders JC, King MA, Mitchell RB, Kelly JP (2006) Perioperative complications of adenotonsillectomy in children with obstructive sleep apnea syndrome. Anesth Analg 103:1115–1121

    Article  PubMed  Google Scholar 

  31. Kretz FJ, Reimann B, Stelzner J, Heumann H, Lange-Stumpf U (2000) Die Larynxmaske bei Adenotonillektomie bei Kindern. Gefährliche Spielerei oder medizinischer Fortschritt? Anaesthesist 49:706–712

    Article  CAS  PubMed  Google Scholar 

  32. Tait AR, Pandit UA, Voepel-Lewis T, Munro HM, Malviya S (1998) Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation. Anesth Analg 86:706–711

    Article  CAS  PubMed  Google Scholar 

  33. Bolton CM, Myles PS, Carlin JB, Nolan T (2007) Randomized, double-blind study comparing the efficacy of moderate-dose metoclopramide and ondansetron for the prophylactic control of postoperative vomiting in children after tonsillectomy. Br J Anaesth 99:699–703

    Article  CAS  PubMed  Google Scholar 

  34. Bolton CM, Myles PS, Nolan T, Sterne JA (2006) Prophylaxis of postoperative vomiting in children undergoing tonsillectomy: a systematic review and meta-analysis. Br J Anaesth 97:593–604

    Article  CAS  PubMed  Google Scholar 

  35. Czarnetzki C, Elia N, Lysakowski C et al (2008) Dexamethasone and risk of nausea and vomiting and postoperative bleeding after tonsillectomy in children: a randomized trial. JAMA 300:2621–2630

    Article  CAS  PubMed  Google Scholar 

  36. Jöhr M (2000) Postoperative pain management in infants and children. Curr Opin Anesthesiol 13:285–289

    Article  Google Scholar 

  37. Krishna S, Hughes LF, Lin SY (2003) Postoperative hemorrhage with nonsteroidal anti-inflammatory drug use after tonsillectomy: a meta-analysis. Arch Otolaryngol Head Neck Surg 129:1086–1089

    Article  PubMed  Google Scholar 

  38. Cardwell M, Siviter G, Smith A (2005) Non-steroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy. Cochrane Database Syst Rev CD003591

    Google Scholar 

  39. Jeyakumar A, Brickman TM, Williamson ME et al (2008) Nonsteroidal anti-inflammatory drugs and postoperative bleeding following adenotonsillectomy in pediatric patients. Arch Otolaryngol Head Neck Surg 134:24–27

    Article  PubMed  Google Scholar 

  40. Marret E, Flahault A, Samama CM, Bonnet F (2003) Effects of postoperative, nonsteroidal, antiinflammatory drugs on bleeding risk after tonsillectomy: meta-analysis of randomized, controlled trials. Anesthesiology 98:1497–1502

    Article  PubMed  Google Scholar 

  41. Dsida R, Cote CJ (2004) Nonsteroidal antiinflammatory drugs and hemorrhage following tonsillectomy: do we have the data? Anesthesiology 100:749–751

    Article  CAS  PubMed  Google Scholar 

  42. Chung SA, Yuan H, Chung F (2008) A systemic review of obstructive sleep apnea and its implications for anesthesiologists. Anesth Analg 107:1543–1563

    Article  PubMed  Google Scholar 

  43. Gross JB, Bachenberg KL, Benumof JL et al (2006) Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American society of anesthesiologists task force on perioperative management of patients with obstructive sleep apnea. Anesthesiology 104:1081–1093

    Article  PubMed  Google Scholar 

  44. Esclamdo RM, Glenn MG, McCulloch TM, Cummings CW (1989) Perioperative complications and risk factors in the surgical treatment of obstructive sleep apnea syndrom. Laryngoscope 99:1125–1129

    Google Scholar 

  45. Fidkowski CW, Zheng H, Firth PG (2010) The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesth Analg 111:1016–1025

    PubMed  Google Scholar 

  46. Schlosser RJ (2009) Clinical practice. Epistaxis. N Engl J Med 360:784–789

    Article  CAS  PubMed  Google Scholar 

  47. Purdie JA, Cullen PM (1993) Brainstem auditory evoked response during propofol anaesthesia in children. Anaesthesia 48:192–195

    Article  CAS  PubMed  Google Scholar 

  48. Chinn K, Brown OE, Manning SC, Crandell CC (1997) Middle ear pressure variation: effect of nitrous oxide. Laryngoscope 107:357–363

    Article  CAS  PubMed  Google Scholar 

  49. Fujii Y, Toyooka H, Tanaka H (1997) Granisetron reduces the incidence of nausea and vomiting after middle ear surgery. Br J Anaesth 79:539–540

    Article  CAS  PubMed  Google Scholar 

  50. Kleemann PP (1996) Die schwierige Intubation. Anaesthesist 45:1248–1267

    Article  CAS  PubMed  Google Scholar 

  51. Sanchez A, Trivedi NS, Morrison DE (1996) Preparation of the patient for awake intubation. In: Benumof JL (Hrsg) Airway management. Principles and practice. CV Mosby, St. Louis, S 487–490

    Google Scholar 

  52. Westphal K, Byhahn C, Lischke V (1999) Die Tracheotomie in der Intensivmedizin. Anaesthesist 48:142–156

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Katholieke Universiteit Leuven, Department of Anesthesiology, University Hospitals Leuven, Campus Gasthuisberg & Department of Cardiovascular Sciences, Herestr. 49, BE-3000, Leuven, Belgium

    Steffen Rex

  2. Service des Soins Intensifs Polyvalents, Centre Hospitalier de Luxembourg, Rue Ernest Barblé, 1210, Müllendorf, Luxembourg

    Martin Max

  3. Standort Großhadern, Klinik der LMU München, Klinik für Anästhesiologie, Marchioninistr. 15, 81377, München, Deutschland

    Hille Kisch-Wedel

Authors
  1. Steffen Rex
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  2. Martin Max
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  3. Hille Kisch-Wedel
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Corresponding author

Correspondence to Steffen Rex .

Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Aachen RWTH Aachen, Aachen, Germany

    Rolf Rossaint

  2. Universitätsklinikum Mainz Klinik für Anästhesiologie, Mainz, Germany

    Christian Werner

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum München Klinikum Großhadern, München, Germany

    Bernhard Zwißler

Section Editor information

  1. Klinikum der Universität München, Klinik für Anästhesiologie, Marchioninistr. 15, 81377, München, Germany

    Bernhard Zwißler

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Rex, S., Max, M., Kisch-Wedel, H. (2016). Anästhesie in der Hals-Nasen-Ohrenheilkunde. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45539-5_72-1

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  • DOI: https://doi.org/10.1007/978-3-662-45539-5_72-1

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  • Print ISBN: 978-3-662-45539-5

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