Sedation and anesthesia in ambulatory ENT procedures – A review

• Dr. Akshaya N Shetti*

Abstract

Ambulatory ENT (ear, nose, and throat) surgeries are increasingly common, driven by advancements in surgical techniques and anesthesia. The selection of appropriate sedation and anesthesia plays a pivotal role in the success of these procedures, ensuring patient safety, comfort, and optimal recovery. The choice between local anesthesia with sedation and general anesthesia depends on various factors, including the complexity of the procedure, patient comorbidities, and the surgeon’s preferences. A thorough understanding of airway management is essential, as ENT surgeries often involve shared airway cases, which can pose unique risks. Recent developments in anesthetic drugs, such as short-acting agents like propofol and remifentanil, have improved the efficiency of recovery in ambulatory settings, reducing the incidence of postoperative complications such as nausea and respiratory distress. In this article the author discusses the importance of preoperative assessment, patient selection, and postoperative care in optimizing outcomes. The latest practices and innovations, this review aims to provide a comprehensive overview of sedation and anesthesia techniques in ambulatory ENT procedures are included in this review.

Keywords

ambulatory surgery, anesthesia, ENT procedures, sedation, airway management