Evaluation of Surgical Conditions during Elective Endoscopic Sinus Surgery with Total Intravenous Anesthesia and Monitored Anesthesia Care

Background:The diseases of sinuses are commonly seen in all age groups.Currently, endoscopic sinus surgery (ESS) is commonly performed as a daycare procedure.The anesthetic technique should also be selected on this basis.Keeping these considerations in view, ESS has been performed under total intravenous anesthesia (TIVA) using or monitored anesthesia care (MAC). Materials and methods:This prospective randomized open-level study was conducted in 40 ASA I-II adult patients of either sex, undergoing elective ESS.All the patients were divided into two groups according to the randomized table: Group A: TIVA and group B: local anesthesia and conscious sedation.In group B, patients who did not tolerate the procedure were converted to the TIVA group.Results: The duration of surgical procedure was 69.00 ± 9.63 minutes in group A patients and 55.00 ± 10.34 minutes in group B patients.This result was statistically significant.But in group A, 55% of patients had a score of 2, and 45% had a score of 3. In group B, 90% had a score of 2 and 10% had a score of 3.This was statistically significant (p < 0.05). Conclusion:The time taken for ESS is reduced, the surgical field is better despite of higher mean blood pressure done with MAC care in comparison to TIVA.However, this needs the cooperative patient.