Possibilities of the anesthesiologist to influence the clarity of the operating field in endonasal surgery

Czech version

Authors: M. Parma ¹; J. Lubojacký ^2,3; M. Frelich ^1,4; V. Vodička ¹; H. Straková ¹; P. Matoušek ^2,3; O. Jor ^1,4
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava ¹; Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Ostrava ²; Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita, Ostrava ³; Katedra intenzivní medicíny, urgentní medicíny a forenzních oborů, Lékařská fakulta, Ostravská univerzita, Ostrava ⁴
Published in: Anest. intenziv. Med., 33, 2022, č. 1, s. 45-50
Category: Review Article

Overview

Endoscopic nasal surgery deals with operations on the nose and paranasal sinuses. The nose and paranasal sinuses are richly vascularly supplied. Mucosal bleeding into the surgical field is therefore common and can be significant. The surgeon works in very cramped spaces with difficult identification of subtle differences in color, where even minimal bleeding can obscure the operating field. Poor clarity in the operated area makes the operation more difficult and increases the risk of complications. The aim of this review work is to provide a comprehensive view of the possibilities of influencing the clarity of the operating field by an anesthesiologist.

Keywords:

functional endoscopic sinus surgery – FESS – bleeding control – clarity of the operating field – controlled hypotension

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