Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art Review

Endoscopic sinus surgery (ESS) is the gold standard for management of chronic rhinosinusitis, nasal polyposis, and other pathology involving paranasal as tumors. Intraoperative bleeding during ESS can be challenging due to narrow sinonasal surgical field, single working hand, use endoscopic instruments, which may affect hemostasis. There a role type anesthesia technique used intraoperative control. Total intravenous (TIVA) inhalational (IA) are some techniques available anesthetic purposes. While both have their advantages disadvantages, there need compare efficacy safety determine more appropriate ESS. In this review, our main focus was summarize current evidence about different A systematic review PubMed/MEDLINE database performed using specific English terms related TIVA IA/volatile total 548 publications were considered. Among these, 329 studies did not fulfill criteria inclusion in resulting only 132 publications: 13 reviews, 32 92 randomized controlled trials, meta-analyses. The state art favors its significant improvement field with less blood loss. Further aim long-term status objective tools, ideally similar same surgeon.