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KMID : 0384020090200010011
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Journal of the Korean Society of Logopedics and Phoniatrics
2009 Volume.20 No. 1 p.11 ~ p.16
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Premedication & Anesthesia for OPD Based Laryngeal Procedures
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Lee Seung-Won
Koh Yoon-Woo
Kim Jae-Wook
Lee Joon-Ho
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Abstract
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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.
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KEYWORD
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Local anesthesia, Outpatient, Vocal cord paralysis
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