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Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?

Year 2016, Volume: 26 Issue: 3, 159 - 163, 20.07.2016

Abstract

Objectives: This study aims to compare the risk of immediate respiratory distress IRD during the recovery of anesthesia between the nasal surgery with totally occlusive nasal packing and non-respiratory tract-related surgeries. Patients and Methods: A total of 300 patients 180 males, 120 females; mean age 30.1±8.2 years; range 18 to 52 years were included in the study. The patients were assigned to one of two age- and sex-matched groups according to surgery type: 1 patients undergoing nasal surgery with totally occlusive nasal packs for nasal septum deviation or 2 patients undergoing non-respiratory tract surgeries for various diseases. Immediate respiratory distress was defined as any unanticipated hypoxemia, hypoventilation or upper-airway obstruction stridor or laryngospasm requiring an active and specific intervention. Results: The patients who underwent nasal surgery with totally occlusive nasal packs had a 6.25 times higher risk of IRD than the patients who underwent non-respiratory tract surgery during recovery from general anesthesia. Smokers had a 4.8 times higher risk of having IRD than non-smokers during the post-extubation phase. There were no significant differences in the incidence of IRD between males and females. Conclusion: Based on our study results, totally occlusive nasal packs and smoking were associated with poor extubation status at the end of the surgical procedure.

References

  • Asai T, Koga K, Vaughan RS. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth 1998;80:767-75.
  • Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia 2012;67:318-40.
  • English J, Norris A, Bedforth N. Anaesthesia for airway surgery. Contin Educ Anaesth Crit Care Pain 2006;6:28-31.
  • Orestes MI, Lander L, Verghese S, Shah RK. Incidence of laryngospasm and bronchospasm in pediatric adenotonsillectomy. Laryngoscope 2012;122:425-8.
  • Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010;120:635-8.
  • Manoukian PD, Wyatt JR, Leopold DA, Bass EB. Recent trends in utilization of procedures in otolaryngology- head and neck surgery. Laryngoscope 1997;107:472-7.
  • Krouse JH. The unified airway. Facial Plast Surg Clin North Am 2012;20:55-60.
  • Günaydın RÖ, Aygenc E, Karakullukcu S, Fidan F, Celikkanat S. Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives. Eur Arch Otorhinolaryngol 2011;268:1151-6.
  • Jensen PF, Kristensen S, Juul A, Johannessen NW. Episodic nocturnal hypoxia and nasal packs. Clin Otolaryngol Allied Sci 1991;16:433-5.
  • Zayyan E, Bajin MD, Aytemir K, Yılmaz T. The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway. Laryngoscope 2010;120:2325-30.
  • Rose DK, Cohen MM, Wigglesworth DF, DeBoer DP. Critical respiratory events in the postanesthesia care unit. Patient, surgical, and anesthetic factors. Anesthesiology 1994;81:410-8.
  • Fairbanks DN. Complications of nasal packing. Otolaryngol Head Neck Surg 1986;94:412-5.
  • Widdicombe J, Lee LY. Airway reflexes, autonomic function, and cardiovascular responses. Environ Health Perspect 2001;109:579-84.
  • Altman KW, Simpson CB, Amin MR, Abaza M, Balkissoon R, Casiano RR. Cough and paradoxical vocal fold motion. Otolaryngol Head Neck Surg 2002;127:501-11.
  • Krouse JH, Altman KW. Rhinogenic laryngitis, cough, and the unified airway. Otolaryngol Clin North Am 2010;43:111-21.

Total tıkayıcı burun tamponu nazal cerrahi sonrası anesteziden derlenme sırasında erken solunum sıkıntısı riskini artırır mı?

Year 2016, Volume: 26 Issue: 3, 159 - 163, 20.07.2016

Abstract

Amaç: Bu çalışmada anesteziden derlenme sırasında total tıkayıcı burun tampon ile birlikte nazal cerrahi ve solunum yolu ile ilişkili olmayan cerrahiler arasında erken solunum sıkıntısı ESS riski karşılaştırıldı.Hastalar ve Yöntemler: Toplam 300 hasta 180 erkek, 120 kadın; ort. yaş: 30.1±8.2 yıl; dağılım 18-52 yıl çalışmaya alındı. Hastalar cerrahi tipine göre yaş ve cinsiyet eşleştirilmiş iki gruptan birine ayrıldı: 1 total tıkayıcı burun tamponu ile birlikte nazal septum deviasyonu için nazal cerrahi yapılan hastalar veya 2 çeşitli hastalıklar nedeniyle solunum yolu dışı cerrahi yapılan hastalar. Erken solunum sıkıntısı beklenmedik hipoksemi, hipoventilasyon veya aktif ve spesifik girişim gerektiren üst solunum yolu tıkanıklığı stridor veya larengospazm olarak tanımlandı.Bulgular: Genel anesteziden derlenme sırasında total tıkayıcı burun tamponu ile nazal cerrahi yapılan hastalarda ESS riski, solunum yolu dışı cerrahi yapılan hastalara kıyasla, 6.25 kat daha yüksekti. Sigara içenlerde ESS riski, ekstübasyon sonrası fazda, sigara içmeyenlere kıyasla 4.8 kat daha yüksekti. Erkekler ve kadınlar arasında ESS insidansı açısından anlamlı bir fark yoktu.Sonuç: Çalışma sonuçlarımıza göre, total tıkayıcı burun tamponu ve sigara kullanımı, cerrahi işlem sonunda kötü ekstübasyon durumu ile ilişkilendirildi

References

  • Asai T, Koga K, Vaughan RS. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth 1998;80:767-75.
  • Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia 2012;67:318-40.
  • English J, Norris A, Bedforth N. Anaesthesia for airway surgery. Contin Educ Anaesth Crit Care Pain 2006;6:28-31.
  • Orestes MI, Lander L, Verghese S, Shah RK. Incidence of laryngospasm and bronchospasm in pediatric adenotonsillectomy. Laryngoscope 2012;122:425-8.
  • Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010;120:635-8.
  • Manoukian PD, Wyatt JR, Leopold DA, Bass EB. Recent trends in utilization of procedures in otolaryngology- head and neck surgery. Laryngoscope 1997;107:472-7.
  • Krouse JH. The unified airway. Facial Plast Surg Clin North Am 2012;20:55-60.
  • Günaydın RÖ, Aygenc E, Karakullukcu S, Fidan F, Celikkanat S. Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives. Eur Arch Otorhinolaryngol 2011;268:1151-6.
  • Jensen PF, Kristensen S, Juul A, Johannessen NW. Episodic nocturnal hypoxia and nasal packs. Clin Otolaryngol Allied Sci 1991;16:433-5.
  • Zayyan E, Bajin MD, Aytemir K, Yılmaz T. The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway. Laryngoscope 2010;120:2325-30.
  • Rose DK, Cohen MM, Wigglesworth DF, DeBoer DP. Critical respiratory events in the postanesthesia care unit. Patient, surgical, and anesthetic factors. Anesthesiology 1994;81:410-8.
  • Fairbanks DN. Complications of nasal packing. Otolaryngol Head Neck Surg 1986;94:412-5.
  • Widdicombe J, Lee LY. Airway reflexes, autonomic function, and cardiovascular responses. Environ Health Perspect 2001;109:579-84.
  • Altman KW, Simpson CB, Amin MR, Abaza M, Balkissoon R, Casiano RR. Cough and paradoxical vocal fold motion. Otolaryngol Head Neck Surg 2002;127:501-11.
  • Krouse JH, Altman KW. Rhinogenic laryngitis, cough, and the unified airway. Otolaryngol Clin North Am 2010;43:111-21.
There are 15 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Melih Çayönü This is me

Dursun Fırat Ergül This is me

Mehmet Çelik This is me

Funda Durmaz This is me

Arif Hikmet Çatakoğlu This is me

Mustafa Erdoğan This is me

Publication Date July 20, 2016
Published in Issue Year 2016 Volume: 26 Issue: 3

Cite

APA Çayönü, M., Ergül, D. F., Çelik, M., Durmaz, F., et al. (2016). Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?. The Turkish Journal of Ear Nose and Throat, 26(3), 159-163.
AMA Çayönü M, Ergül DF, Çelik M, Durmaz F, Çatakoğlu AH, Erdoğan M. Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?. Tr-ENT. July 2016;26(3):159-163.
Chicago Çayönü, Melih, Dursun Fırat Ergül, Mehmet Çelik, Funda Durmaz, Arif Hikmet Çatakoğlu, and Mustafa Erdoğan. “Do Totally Occlusive Nasal Packs After Nasal Surgery Increase the Risk of Immediate Respiratory Distress During Recovery from Anesthesia?”. The Turkish Journal of Ear Nose and Throat 26, no. 3 (July 2016): 159-63.
EndNote Çayönü M, Ergül DF, Çelik M, Durmaz F, Çatakoğlu AH, Erdoğan M (July 1, 2016) Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?. The Turkish Journal of Ear Nose and Throat 26 3 159–163.
IEEE M. Çayönü, D. F. Ergül, M. Çelik, F. Durmaz, A. H. Çatakoğlu, and M. Erdoğan, “Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?”, Tr-ENT, vol. 26, no. 3, pp. 159–163, 2016.
ISNAD Çayönü, Melih et al. “Do Totally Occlusive Nasal Packs After Nasal Surgery Increase the Risk of Immediate Respiratory Distress During Recovery from Anesthesia?”. The Turkish Journal of Ear Nose and Throat 26/3 (July 2016), 159-163.
JAMA Çayönü M, Ergül DF, Çelik M, Durmaz F, Çatakoğlu AH, Erdoğan M. Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?. Tr-ENT. 2016;26:159–163.
MLA Çayönü, Melih et al. “Do Totally Occlusive Nasal Packs After Nasal Surgery Increase the Risk of Immediate Respiratory Distress During Recovery from Anesthesia?”. The Turkish Journal of Ear Nose and Throat, vol. 26, no. 3, 2016, pp. 159-63.
Vancouver Çayönü M, Ergül DF, Çelik M, Durmaz F, Çatakoğlu AH, Erdoğan M. Do totally occlusive nasal packs after nasal surgery increase the risk of immediate respiratory distress during recovery from anesthesia?. Tr-ENT. 2016;26(3):159-63.