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Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy

BACKGROUND: Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of gener...

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Autores principales: Fan, Yichen, Chi, Xiaoying, Zhu, Danyan, Yin, Jiemin, Liu, Yaling, Su, Diansan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116817/
https://www.ncbi.nlm.nih.gov/pubmed/37076883
http://dx.doi.org/10.1186/s13741-023-00301-7
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author Fan, Yichen
Chi, Xiaoying
Zhu, Danyan
Yin, Jiemin
Liu, Yaling
Su, Diansan
author_facet Fan, Yichen
Chi, Xiaoying
Zhu, Danyan
Yin, Jiemin
Liu, Yaling
Su, Diansan
author_sort Fan, Yichen
collection PubMed
description BACKGROUND: Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of general anaesthesia may significantly reduce surgical efficiency. Avoiding these problems remains an important issue. METHODS: All patients were subjected to the standard non-intubated deep paralysis (NIDP) protocol consisting of four phases. An emergency plan was launched when NIDP cannot be implemented successfully. Patient characteristics, blood gas and monitoring data were collected during NIDP. Data concerning satisfaction, complications and duration of anaesthesia and recovery were collected to assess its effectiveness. RESULT: Among 20 enrolled patients, the success rate of NIDP was 95%. Only one patient failed in completing NIDP. Blood gas analysis revealed that the partial pressure of oxygen and carbon dioxide was maintained at safe levels. Monitoring during NIDP revealed fluctuations in mean arterial pressure between 110 and 70 mmHg, and the heart rate was stable at 60–100 beats per minute. The duration of anaesthesia and postoperative recovery were 13.0 ± 2.84 and 5.47 ± 1.97 min, respectively. All patients and surgeons were satisfied with NIDP, and no complications were detected before discharge. CONCLUSION: NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy. It can significantly reduce the duration of anaesthesia and postoperative recovery. No anaesthesia complications occurred without intubation, and patients and surgeons were satisfied with NIDP. TRIAL REGISTRATIONS: This single-centre, prospective study was registered on clinicaltrial.gov (NCT04247412) on 30(th) July 2020.
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spelling pubmed-101168172023-04-21 Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy Fan, Yichen Chi, Xiaoying Zhu, Danyan Yin, Jiemin Liu, Yaling Su, Diansan Perioper Med (Lond) Research BACKGROUND: Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of general anaesthesia may significantly reduce surgical efficiency. Avoiding these problems remains an important issue. METHODS: All patients were subjected to the standard non-intubated deep paralysis (NIDP) protocol consisting of four phases. An emergency plan was launched when NIDP cannot be implemented successfully. Patient characteristics, blood gas and monitoring data were collected during NIDP. Data concerning satisfaction, complications and duration of anaesthesia and recovery were collected to assess its effectiveness. RESULT: Among 20 enrolled patients, the success rate of NIDP was 95%. Only one patient failed in completing NIDP. Blood gas analysis revealed that the partial pressure of oxygen and carbon dioxide was maintained at safe levels. Monitoring during NIDP revealed fluctuations in mean arterial pressure between 110 and 70 mmHg, and the heart rate was stable at 60–100 beats per minute. The duration of anaesthesia and postoperative recovery were 13.0 ± 2.84 and 5.47 ± 1.97 min, respectively. All patients and surgeons were satisfied with NIDP, and no complications were detected before discharge. CONCLUSION: NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy. It can significantly reduce the duration of anaesthesia and postoperative recovery. No anaesthesia complications occurred without intubation, and patients and surgeons were satisfied with NIDP. TRIAL REGISTRATIONS: This single-centre, prospective study was registered on clinicaltrial.gov (NCT04247412) on 30(th) July 2020. BioMed Central 2023-04-19 /pmc/articles/PMC10116817/ /pubmed/37076883 http://dx.doi.org/10.1186/s13741-023-00301-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Fan, Yichen
Chi, Xiaoying
Zhu, Danyan
Yin, Jiemin
Liu, Yaling
Su, Diansan
Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title_full Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title_fullStr Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title_full_unstemmed Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title_short Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
title_sort non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116817/
https://www.ncbi.nlm.nih.gov/pubmed/37076883
http://dx.doi.org/10.1186/s13741-023-00301-7
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