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Day-case septal surgery under general anaesthesia and local anaesthesia with sedation

Published online by Cambridge University Press:  29 June 2007

V. Srinivasan ,
R. B. S. Arasaratnam  and
G. A. Jankelowitz
V. Srinivasan*
Affiliation:
Department of Otolaryngology, Ipswich Hospital, Heath Road, Ipswich, Suffolk.
R. B. S. Arasaratnam
Affiliation:
Department of Otolaryngology, Ipswich Hospital, Heath Road, Ipswich, Suffolk.
G. A. Jankelowitz
Affiliation:
Department of Otolaryngology, Ipswich Hospital, Heath Road, Ipswich, Suffolk.
*
Mr V. Srinivasan, 205 Brasenose Avenue, Gorleston, Great Yarmouth NR31 7DX.
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Abstract

Septal 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.

Keywords

Nasal septum, surgeryAnaesthesia, generalAnaesthesia, localConscious sedationDay care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 7 , July 1995 , pp. 614 - 617
Copyright
Copyright © JLO (1984) Limited 1995

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