Author:
Srinivasan V.,Arasaratnam R. B. S.,Jankelowitz G. A.
Abstract
AbstractSeptal surgery (submucous resection and septoplasty) has been performed as a day-case procedure routinely under general anaesthesia and local anaesthesia with sedation at the Ipswich Hospitalsince 1992. The outcome of the day-case septal surgery over a period of 18 months has been audited. A total of 95 cases were operated on of which 48 were under general anaesthesia (GA) and 47 under local anaesthesia (LA) with sedation using midazolam intravenously. The bleeding rate and overnight admission rate were 10.5 and 11.4 percent respectively. The bleeding rate was the same in both GA and LA groups. The combination of local anaesthesia and sedation has been foundto be safe, effective and acceptable to patients. It is concluded that septal surgery is suitable as a day procedure and that local anaesthesia combined with sedation has a definite place ifcarried out properly.
Publisher
Cambridge University Press (CUP)
Subject
Otorhinolaryngology,General Medicine
Reference15 articles.
1. Submucous resection of the nasal septum as an outpatient procedure
2. Poswillo Report (1990) General Anaesthesia, Sedation and Resuscitation in Dentistry: Report of an Expert Working Party, Department of Health.
3. Royal College of Surgeons of England (1993) Report of the Working Party on Guidelines for Sedation by Nonanaesthetists, pp 7–8.
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