ENT Anesthesia amp; E selection.docVIP

 PAGE \* MERGEFORMAT 9 ENT Anesthesia amp; E selection [Keywords:] Anesthesia Department of Otolaryngology Otolaryngology acute disease itself, such as infection, injury and airway foreign bodies can be involved, resulting in airway trauma, bleeding, edema, abscess formation or partial pressure, causing varying degrees of airway obstruction. If you have severe airway obstruction less timely treatment, patients often died because of severe hypoxia. The surgical procedure is also more in the nasopharynx, larynx, or trachea carried out within the joint co-operative anesthesia and airway, anesthesiologists can not close the airway, then we must ensure that patient safety, but also does not affect the surgical procedure. to maintain the airway during anesthesia and to ensure adequate gas exchange is the key issue. (A) local anesthesia Local anesthesia for a shorter operation time, operation is relatively simple, the airway of patients who co-operation. The advantages of local anesthesia: less interference of the body, vomiting, aspiration of the possibility of small, local anesthetic plus a small amount of epinephrine in the operative field can be reduced bleeding, is conducive to surgical operation, intraoperative patient’s consciousness exists, surgery may be kept informed of activities of laryngeal vocal cord surgery, if combined with general anesthesia can reduce the amount of anesthetics, and get some analgesic effect. But for the surgery range, precision surgery, require patients to head for a long time fixed at a specific location of the surgery, pediatric and mental stress of patients, local anesthesia alone is often difficult to complete, should not be optional. Otolaryngology surgery more than local anesthesia by the surgeon their own operations, requiring the surgeon familiar with and information on the anatomical relationship between nerves and a variety of nerve block operation method. Pinna and external auditory canal surgery, a