Anaesthesia for ear surgery in remote or resource-constrained environments.

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Anaesthesia for ear surgery in remote or resource-constrained environments.

J Laryngol Otol. 2018 Sep 05;:1-5

Authors: Kaur B, Clark MPA, Lea J

Abstract
BACKGROUND: The successful provision of middle-ear surgery requires appropriate anaesthesia. This may take the form of local or general anaesthesia; both methods have their advantages and disadvantages. Local anaesthesia is simple to administer and does not require the additional personnel required for general anaesthesia. In the low-resource setting, it can provide a very safe and effective means of allowing middle-ear surgery to be successfully completed. However, some middle-ear surgery is too complex to consider performing under local anaesthesia and here general anaesthesia will be required.
CONCLUSION: This article highlights considerations for performing middle-ear surgery in a safe manner when the available resources may be more limited than those expected in high-income settings. There are situations where local anaesthesia with sedation may prove a useful compromise of the two techniques.

PMID: 30180911 [PubMed - as supplied by publisher]

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