Cirugía endoscópica nasosinusal como cirugía mayor ambulatoria

Eisenberg, Gustavo; Pérez, Cecilia A.; Hernando, Mónica; Taha, Muhammad; González, Ramón; Montojo, José; Echarri, Rosa; García, Victoria; Onrubia, Tomás; Plaza, Guillermo

doi:10.1016/s0001-6519(08)73263-1

Cited by 17 publications

(3 citation statements)

References 14 publications

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“…In the day care scenario, hemorrhage in the immediate postoperative period is the most common cause of delayed recovery and discharge after ambulatory surgery and most frequent (even extending up to 8.8%) cause of unplanned readmission and subsequently delayed return to work. [ 22 23 ]…”

Section: Discussionmentioning

confidence: 99%

Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study

et al. 2016

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Background:Functional endoscopic sinus surgery (FESS) is the cornerstone of therapeutic management for nasal pathologies. This study is to compare the ability of preoperative and intraoperative esmolol versus dexmedetomidine for producing induced hypotension during FESS in adults in a day care setting.Materials and Methods:Sixty patients (20-45 years) posted for FESS under general anesthesia were randomly divided into Group E (n = 30) receiving esmolol, loading dose 1 mg/kg over 1 min followed by 0.5 mg/kg/h infusion during maintenance and Group D (n = 30) receiving dexmedetomidine 1 μg/kg over 15 min before induction of anesthesia followed by 0.5 μg/Kg/h infusion during maintenance, respectively. Nasal bleeding and Surgeon's satisfaction score; amount and number of patients receiving fentanyl and nitroglycerine for analgesia and deliberate hypotension, Postanesthesia Care Unit (PACU) and hospital stay; hemodynamic parameters and side effects were recorded for each patient.Results:Significantly less number and dosage of nitroglycerine was required (P = 0.0032 and 0.0001, respectively) in Group D compared to that in Group E. Again the number and dosage of patients requiring fentanyl were significantly lower in Group D. However, the duration of controlled hypotension was almost similar in both the groups. Group D patients suffered from significantly less nasal bleeding, and surgeon's satisfaction score was also high in this group. Discharge from PACU and hospital were significantly earlier in Group D. Intraoperative hemodynamics were quite comparable (P > 0.05) without any appreciable side effects.Conclusion:Dexmedetomidine found to be providing more effectively controlled hypotension and analgesia and thus allowing less nasal bleeding as well as more surgeons’ satisfaction score.

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Section: Discussionmentioning

confidence: 99%

Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study

et al. 2016

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“…[ 20 ] However, it does require a careful selection of those patients who are good candidates for the surgery as well as an adequate preliminary anesthetic assessment to ensure that the major outpatient surgery will not only provide economic benefits but also that the patient will have a sense of improvement in his or her quality of life. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Induced hypotension in ambulatory functional endoscopic sinus surgery: A comparison between dexmedetomidine and clonidine as premedication. A prospective, double-blind, and randomized study

Das¹,

Mukherje²,

Chhaule³

et al. 2016

Saudi J Anaesth

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Background:Functional endoscopic sinus surgery (FESS) is the mainstay of a therapeutic technique for nasal pathologies. This study is to compare the ability of preoperative dexmedetomidine versus clonidine for producing controlled hypotensive anesthesia during FESS in adults in an ambulatory care setting.Materials and Methods:Sixty patients (25-50 years) posted for ambulatory FESS procedures under general anesthesia were randomly divided into Group C and D (n = 33 each) receiving dexmedetomidine 1 μg/kg and clonidine 1.5 μg/kg, respectively; both diluted in 100 ml saline solution 15 min before anesthetic induction. Nasal bleeding and surgeon's satisfaction score; amount and number of patients receiving fentanyl and nitroglycerine for analgesia and deliberate hypotension, duration of hypotension, post anesthesia care unit (PACU) and hospital stay; hemodynamic parameters and side effects were recorded for each patient.Results:Number and dosage of nitroglycerine used was significantly (P = 0.034 and 0.0001 respectively) lower in Group D compared to that in Group C. Similarly, number of patients requiring fentanyl and dosage of same was significantly lower in Group D. But, the duration of controlled hypotension was almost similar in both the groups. Group D patients suffered from significantly less nasal bleeding and surgeon's satisfaction score was also high in this group. Discharge from PACU was significantly earlier in Group D, but hospital discharge timing was quite comparable among two groups. Intraoperative hemodynamics was significantly lower in Group D (P < 0.05) without any appreciable side effects.Conclusion:Dexmedetomidine found to be providing more effectively controlled hypotension and analgesia, and thus, allowing less nasal bleeding as well as more surgeons’ satisfaction score.

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“…La cirugía endoscópica nasal ha ido evolucionando como procedimiento quirúrgico desde su implantación en España, siendo una técnica que se ha ido posicionando poco a poco como una cirugía mayor ambulatoria (CMA) en función de los antecedentes del paciente y las indicaciones quirúrgicas, variables que deben ser detectadas previamente para poder derivar correctamente al paciente a una CMA con garantías de una correcta recuperación sin complicaciones (Eisenberg et al, 2008).…”

Section: El Quirófanounclassified

Influencia del apoyo social en la ansiedad y el estrés del paciente intervenido de cirugía endoscópica nasosinusal

Santana¹

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Castellón de la Plana, abril de 2019 AGRADECIMIENTOS La elaboración de esta Tesis Doctoral, que ha sido como un viaje en barco que consigue llegar a buen puerto, no hubiese sido posible sin la ayuda, asesoramiento y apoyo de TODAS las personas que quisieron acompañarme en esta travesía y se convirtieron en una tripulación especial y fundamental para conseguir el objetivo planificado.En primer lugar darle las GRACIAS a mi director de Tesis, el Dr. Jose Enrique Hernández, la ayuda prestada no solo desde el punto teórico, explicándome y enseñándome los mapas y rutas que debía usar para llegar a ese puerto soñado, sino además ofreciéndome su apoyo en los días de tormenta donde la navegación se tornaba complicada y se perdía el rumbo, para mí fue y es en la actualidad un referente profesional y personal como defensor de la enfermería y valor del arte de cuidar.GRACIAS a mi codirector de tesis el Dr. Fernando Calvo que en los momentos que el "GPS del barco metodológico" se estropeaba conseguía con su manejo de la estadística y la metodología conseguir recobrar el rumbo deseado.GRACIAS a la Dra. Loreto Maciá por transmitirme desde el primer momento el entusiasmo por la investigación enfermera, fundamental para crecer y avanzar como disciplina en una sociedad que necesita ser cuidada siempre en base a la evidencia científica.GRACIAS al Dr. Juan Carlos Falcón, Dr. Ángel Ramos y a la Dra. Teresa Ramírez, que desde el comienzo de esta tesis antes de empezar con la construcción del barco que surcaría ese mar de conocimientos me dieron las directrices adecuadas que por su experiencia eran necesarias para conseguir los materiales y los permisos para que la travesía fuese lo más placentera posible.GRACIAS a Sergio por su implicación tanto profesional como personal, dibujando y engalanando este barco para que no pasase desapercibido surcando los mares del saber. 5 GRACIAS al personal de enfermería de las diferentes unidades de hospitalización, quirófano, despertar y reanimación, al servicio de anestesia y otorrinolaringología del Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, servicios y unidades que consiguieron con su apoyo que cada viajero que decidió participar en esta tesis doctoral tuviese lo mejores cuidados durante el proceso de investigación.GRACIAS mis padres Beni y Pedro, mi hermana Jennifer, mi familia y amigos que durante el viaje supieron entender que en este tipo de travesías tan largas, era fundamental su apoyo y comprensión en los momentos en el que el barco necesitaba un empuje extra para sobrepasar las olas.Por último y no menos importante GRACIAS a Carolina mi pareja el mástil donde me he apoyado desde el primer momento para conseguir llegar a puerto, sin tu apoyo incondicional no hubiese sido posible este viaje, deseo seguir compartiendo el rumbo de mi vida a tu lado.Dedicarle esta tesis a mi hija Adriana que su nacimiento ha sido el mejor de los regalos que hemos tenidos en la vida, coincidiendo con la elaboración de esta tesis, perdona si en algún momento no he podido estar a...

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Cirugía endoscópica nasosinusal como cirugía mayor ambulatoria

Cited by 17 publications

References 14 publications

Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study

Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study

Induced hypotension in ambulatory functional endoscopic sinus surgery: A comparison between dexmedetomidine and clonidine as premedication. A prospective, double-blind, and randomized study

Influencia del apoyo social en la ansiedad y el estrés del paciente intervenido de cirugía endoscópica nasosinusal

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