دورية أكاديمية
Survey of Anesthesiologists on Topical Vasoconstrictors and Intravenous Tranexamic Acid for Endoscopic Sinus Surgery.
| العنوان: | Survey of Anesthesiologists on Topical Vasoconstrictors and Intravenous Tranexamic Acid for Endoscopic Sinus Surgery. |
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| المؤلفون: | Feng M; Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Lao VF; Department of Anesthesiology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Choby G; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN, USA., Bolton PB; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ, USA., Marino MJ; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Phoenix, AZ, USA., Weingarten TN; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA., Humphreys IM; Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, WA, USA., Dhillon SK; Department of Anesthesiology, Virginia Commonwealth University, Richmond, VA, USA., Choi BY; Department of Population Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Fernandez RA; Department of Population Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Mehter NS; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA., Chen PG; Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA. |
| المصدر: | The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2022 Jan; Vol. 131 (1), pp. 59-70. Date of Electronic Publication: 2021 Apr 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: United States NLM ID: 0407300 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-572X (Electronic) Linking ISSN: 00034894 NLM ISO Abbreviation: Ann Otol Rhinol Laryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Los Angeles : Sage Original Publication: St. Louis : Annals Publishing Co |
| مواضيع طبية MeSH: | Anesthesiology* , Endoscopy* , Practice Patterns, Physicians'*, Antifibrinolytic Agents/*administration & dosage , Paranasal Sinuses/*surgery , Tranexamic Acid/*administration & dosage , Vasoconstrictor Agents/*administration & dosage, Administration, Intravenous ; Administration, Topical ; Cocaine/administration & dosage ; Epinephrine/administration & dosage ; Health Care Surveys ; Humans ; Otorhinolaryngologic Surgical Procedures/methods ; Oxymetazoline/administration & dosage |
| مستخلص: | Objectives: Topical vasoconstrictors and intravenous tranexamic acid (IV TXA) are safe and efficacious to decrease bleeding and improve the surgical field during endoscopic sinus surgery (ESS). The purpose of this study was to investigate practice patterns, awareness of clinical evidence, and comfort levels among anesthesia providers regarding these hemostatic agents for ESS. Methods: A total of 767 attending anesthesiologists, residents, and certified registered nurse anesthetists (CRNAs) at 5 United States academic centers were invited to participate in a survey regarding their experience with IV TXA and 3 topical vasoconstrictor medications (oxymetazoline, epinephrine, and cocaine) during ESS. Results: 330 (47%) anesthesia providers responded to the electronic survey. 113 (97%) residents, 92 (83%) CRNAs, and 52 (68%) attendings managed 5 or fewer ESS cases per month. Two-thirds of providers had not reviewed efficacy or safety literature for these hemostatic agents. Oxymetazoline was perceived safest, followed by epinephrine, IV TXA, and cocaine. Respondents considered potential side effects over surgical field visibility when selecting agents. The majority of providers had no formal training on these agents for ESS, but indicated interest in educational opportunities. Conclusion: Many anesthesia providers are unfamiliar with safety and efficacy literature regarding agents used to improve hemostasis for ESS, highlighting a need for development of relevant educational resources. Rhinologic surgeons have an opportunity to communicate with anesthesia colleagues on the use of hemostatic agents to improve the surgical field during ESS. |
| فهرسة مساهمة: | Keywords: education; endoscopic sinus surgery; intravenous tranexamic acid; surgical field visibility; topical cocaine; topical epinephrine; topical oxymetazoline |
| المشرفين على المادة: | 0 (Antifibrinolytic Agents) 0 (Vasoconstrictor Agents) 6T84R30KC1 (Tranexamic Acid) 8VLN5B44ZY (Oxymetazoline) I5Y540LHVR (Cocaine) YKH834O4BH (Epinephrine) |
| تواريخ الأحداث: | Date Created: 20210412 Date Completed: 20220106 Latest Revision: 20220428 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1177/00034894211005940 |
| PMID: | 33840220 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1943-572X |
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| DOI: | 10.1177/00034894211005940 |