Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Premedication & Anesthesia for OPD Based Laryngeal Procedures

외래 후두 수술의 술전처치 및 마취

  • Lee, Seung-Won (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Jae-Wook (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Koh, Yoon-Woo (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Lee, Jun-Ho (Anesthesia & Pain Medicine, Soonchunhyang University College of Medicine)
  • 이승원 (순천향대학교 의과대학 이비인후과학교실) ;
  • 김재욱 (순천향대학교 의과대학 이비인후과학교실) ;
  • 고윤우 (순천향대학교 의과대학 이비인후과학교실) ;
  • 이준호 (순천향대학교 의과대학 마취통증의학과학교실)
  • Published : 2009.06.15
Download PDF
⟨ Previous Next ⟩

Abstract

OPD based laryngeal procedures offers a new avenue to the modern laryngologist, incorporating new technology in the office setting. With the development of flexible fiberoptic endoscopes, compact video system, and short acting anesthetics and sedatives allow these procedures. The success or failure of procedures are depend on excellent topical anesthesia. An inadequately anesthetized patient is apt to be uncomfortable, anxious and hyperresponsive and therefore unlikely to tolerate the procedure. On the other hand, a patient who is well informed, reassured, and thoroughly anesthetized can complete procedures. Therefore, optimal anesthesia is obligatory for excellent surgical results. The phonosurgeon should choose the anesthetic and sedative agents based on duration of action, time of onset of action, and any medical contraindications that the patient may have. And should be familiar with the properties and interaction of the agents used, as well as the signs of toxicity.

Keywords