Anesthesiological Possibilities of Intraoperative Bleeding Control During Endoscopic Rhinosinusurgical Interventions
https://doi.org/10.21292/2078-5658-2022-19-1-75-81
Abstract
The safety and effectiveness of endoscopic rhinological operations in the treatment of chronic inflammatory diseases, as well as neoplasms of the paranasal sinuses, are largely achieved by reducing bleeding in the area of the surgical field. Even a small amount of blood can disrupt the view during endoscopy and prevent the intervention from being performed, thereby increasing the risk of complications.
The review presents modern methods of reducing the risk of intraoperative bleeding under general anesthesia. Each approach has its own characteristics, therefore, the benefit-risk ratio should be assessed for each patient before choosing a specific method for controlling intraoperative bleeding.
About the Authors
V. E. PavlovRussian Federation
Vladimir E. Pavlov, Assistant of Anesthesiology and Intensive Care Department.
6-8, Lva Tolstogo St., St. Petersburg, 197022
Yu. S. Polushin
Russian Federation
Yury S. Polushin, Academician of RAS, Professor,
Head of Anesthesiology and Intensive Care Department,
Head of Research Clinical Center of Anesthesiology
and Intensive Care.
6-8, Lva Tolstogo St., St. Petersburg, 197022
L. V. Kolotilov
United Republic of Tanzania
Leonid V. Kolotilov, Doctor of Medical Sciences, Associate Professor of Anesthesiology and Intensive Care Department.
Dar es Salaam
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Review
For citations:
Pavlov V.E., Polushin Yu.S., Kolotilov L.V. Anesthesiological Possibilities of Intraoperative Bleeding Control During Endoscopic Rhinosinusurgical Interventions. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2022;19(1):75-81. (In Russ.) https://doi.org/10.21292/2078-5658-2022-19-1-75-81