Anesthesia Management and Postanesthetic Recovery Following Endoscopic Sinus Surgery.
Acetaminophen
/ therapeutic use
Adult
Aged
Analgesics
/ therapeutic use
Anesthesia Recovery Period
Anesthesia, General
/ adverse effects
Body Mass Index
Endoscopy
/ adverse effects
Female
Humans
Male
Middle Aged
Operative Time
Paranasal Sinuses
/ surgery
Postoperative Complications
/ epidemiology
Remifentanil
/ therapeutic use
Retrospective Studies
Risk Factors
Time Factors
Endoscopic sinus surgery, general anesthesia, postoperative pain, acetaminophen, remifentanil
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
21
02
2020
revised:
19
05
2020
accepted:
21
05
2020
pubmed:
12
7
2020
medline:
6
3
2021
entrez:
12
7
2020
Statut:
ppublish
Résumé
Delayed anesthesia recovery following endoscopic sinus surgery (ESS) can be an indicator of immediate complications and negatively impact healthcare efficiency. This study aims to examine clinical factors with a focus on improving clinical practice. Medical records of patients undergoing ESS under general anesthesia from 2014 to 2018 were reviewed. Based on the interquartile range of anesthesia recovery for the cohort, patients in the upper quartile were categorized as "prolonged" and the lowest three quartiles as "goal" recovery. Patient and surgical characteristics were investigated. Analyzing 416 patients who underwent ESS, the median anesthesia recovery time was 48 [35-66] minutes. Prolonged recovery was associated with higher body mass index (odds ratio 1.50 [95% confidence interval 1.03-2.18] per 10 kg/m Our findings substantiate the use of acetaminophen and remifentanil in ESS, facilitating anesthesia recovery. Broadly consideration of preemptive acetaminophen could further increase postoperative comfort in ESS. 4 - Retrospective. Laryngoscope, 131:E815-E820, 2021.
Substances chimiques
Analgesics
0
Acetaminophen
362O9ITL9D
Remifentanil
P10582JYYK
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
E815-E820Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
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