xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

Surgical visualization TIVA results in a better surgical visualization than IA. Sivaci 1848 2004 2 RCT TIVA(n = 32) IA(n = 33) Operative time MAP EBL

hypotension obtained with either IA orTIVA Eberhart 1850 2003 2 RCT, double-blind TIVA(n = 45) IA(n = 43) MAP Heart rate EBL

Surgical visualization Length of stay No significant difference in EBL; visualization and time to discharge improved with TIVA Milonski 1852 2013 3* RCT IA w/ fentanyl (n = 30) IA w/ remifentanil (n = 30) TIVA(n = 30) Anesthesia time Operative time EBL Blood loss rate

Beule 1846 2007 2 RCT, double-blind TIVA(n = 24) IA(n = 22) No significant differences in surgical visualization or EBL were noted between TIVA and IA Wormald 1847 2005 2 RCT TIVA(n = 28) IA(n = 28) MAP Heart rate EBL Heart rate EBL

TIVA may decrease bleeding compared with conventional IA Tirelli 1849 2004 2 RCT TIVA(n = 27) IA(n = 37) MAP Heart rate EBL Surgical visualization TIVA reduced EBL. Controlled

TIVA improved surgical visualization. Controlled hypotension was obtained with either IA or TIVA Pavlin 1851 1999 2 RCT, double-blind TIVA(n = 30) IA(n = 26) MAP Heart rate EBL

TIVA provides better control of hypotension, leading to lower EBL and shorter operating time

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Operative time MAP

Surgical visualization (VAS) Impact of bleeding (VAS)

Surgical visualization (Fromme) Surgical visualization (VAS)

TABLE XII-1 (Continued)

*Level of evidence downgraded due to opaque reporting of randomization strategy and baseline measures of disease severity.