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Septoplasty under local and general anaesthetic

2 March 2022 | | Paediatric ENT
This Turkish prospective, non-randomised study compared the quality of life outcomes in 50 patients who underwent local anaesthetic (LA) septoplasty, and 50 patients who underwent general anaesthetic (GA) septoplasty over a six-month period. Quality of life outcomes were measured using...

Middle ear pressures with different anaesthetic agents

1 January 2016 |
The use of appropriate anaesthetic agents is essential to avoid complications during middle ear surgery. This Turkish study attempted to identify whether intravenous (IV) anaesthetics (propofol) or inhalational agents (sevoflurane) cause more variations in middle ear pressures. The authors performed...

ENT in this issue...Anaesthetics and ENT

1 November 2019 |
Nick Crombie, BMedSci BMBS FRCA FIMC RCSEd RCPathME, Associate Medical Director (Governance); Consultant Trauma Anaesthetist; Honorary Researcher, National Institute for Health Research SRMRC: Clinical Lead for Resuscitation Services, QEHB, UK. E: Nicholas.Crombie@uhb.nhs.uk Plastic surgeons think we do endless crosswords. Orthopaedic...

The ear, nose and throat anaesthesia practice of Dr John Snow (1813-58)

3 November 2022 | | ENT
News of the first successful public demonstration of general anaesthesia in Boston, Massachusetts in October 1846 reached Britain in mid-December of that year. James Robinson, a London dentist, gave the first anaesthetic in the United Kingdom when, on 19 December,...

IV dexamethasone versus LA infiltration during paediatric tonsillectomy

1 May 2017 | | Analgesics, Corticosteroids, Local infiltration, Pain, Postoperative vomiting
Postoperative nausea and vomiting following tonsillectomy is important to control for improved oral intake and satisfaction following surgery. Optimal management is still debated. This team from Beirut conducted a randomised double blind clinical trial comparing the effect of intravenous dexamethasone...

The use of THRIVE in laryngology and phonosurgery

1 May 2018 | | ENT, Head and Neck, Laryngology / Swallowing / Voice
The team in Lewisham has been using THRIVE for our phonosurgical cases for about a year. Here, we discuss the pros, cons and potential pitfalls of setting up and using THRIVE as ventilation during anaesthesia rather than using an ML...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

1 November 2019 | | ENT
Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Anaesthesia for free-flap surgery

1 November 2019 | | ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Multidisciplinary airway simulation workshops: ‘preparing your team for the difficult airway’

1 September 2019 |
Can human factor issues be better addressed within a multidisciplinary learning environment? Would this improve team working and patient outcomes? Are these important training considerations? Mona Thornton discusses the experience of a multidisciplinary simulation airway workshop in the unit she...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENT, Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...