Abud-González G, Córdova-López R

Language: Spanish
References: 3
Page: 30-34
PDF size: 142.14 Kb.

ABSTRACT

In this work, experience obtained with 1 780 patients between 1997 and 2004 respect to local anesthesia use in rhinoseptoplasty in Hospital Medica Sur of Mexico City is presented. The study is descriptive, cross-sectional and observational, and includes results relative to patients to which was applied rhinoseptoplasty with the help of local anesthesia (xylocaine 2% + adrenalin mixed with bupivacaine 0.5% in relation 3:1, it is to say 7 cc of xylocaine and 3 cc of bupivacaine). This procedure was made in all the cases with presence of an anesthesiologist, who supervised sedation and deep analgesia in the operating room and monitored vital signs (electrocardiogram [EKG], pulse oximetry [POM], arterial pressure [AP]). Practically 100% of patients could breathe properly in transoperatory and immediate postoperatory, reason why it is considered that the technique applied here is the ideal to preserve the functionality of nose. In all the participants, rhinoseptoplasty was combined with transfictive suture without obstruction; of that way, patients withdrew breathing to fullness. The technique is safe, elective always and with low morbidity; in order to apply it, it must consider the following considerations: rejection to technique, convulsive crises, hematologic alterations, infection of the region, hypoacusia, psychiatric alterations, drug addictions (addict to cocaine), and prolonged surgical times.

REFERENCES

1. Aldrete JA. Anestesiología teórico-práctica. V. 1. Salvat, México, 1986.

2. Morgan GE (ed.) Anestesiología clínica. El Manual Moderno, México, 1995.

3. Ramírez-Oropeza FJ, Saynes-Marín FJ. Sutura continua en rinoseptumplastia. An ORL Mex 2004; 49 (1): 23-30. Figura 5. El procedimiento tuvo éxito en 100% de los pacientes; éstos emergieron del procedimiento respirando en forma natural y con su problema rinoseptal resuelto.