ANESTHESIA IN ENDOSCOPIC SINUS SURGERY

Successful administration of anesthesia in endoscopic sinus surgery is of critical importance for patient comfort, to reduce bleeding, and f or procedure safety. However, surgeons are often reluctant to perform the procedure under local anesthesia with sedation. Over the pass Sour years, patients undergoing ESS have been asked to complete a question naire to evaluate their anesthetic experience. A total of 111 complete d questionnaires were returned for evaluation. The questionnaire evalu ated subjective level of pain, nausea, vomiting, and overall unpleasan tness of surgery on a 100 mm visual analog scale. The results from thi s survey indicate a high level of patient satisfaction with our curren t anesthetic techniques, while identifying issues with postoperative n ausea and vomiting. The results of the survey and a review of the anes thetic issues involved in successfully performing endoscopic sinus sur gery are discussed.