Current opinion in anaesthesiology · 2026
Anesthetic considerations for ambulatory and office-based otolaryngologic surgery.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alrassi James, Song Phillip C, Chinthareddy Vikranth R, Shapiro Fred E
Аннотация
PURPOSE OF REVIEW: Ambulatory and office-based otolaryngologic procedures are increasingly performed as advances in endoscopic technology, anesthesia techniques, and perioperative care enable complex interventions outside the inpatient setting. This review summarizes current anesthetic considerations for ambulatory and office-based ear, nose, and throat (ENT) surgery, emphasizing patient selection, perioperative risk stratification, and airway management.
RECENT FINDINGS: Recent literature highlights the expanding role of office-based procedures as safe and cost-effective alternatives to operating room interventions when appropriate patient selection and monitoring are applied. Preoperative assessment should evaluate airway history, anatomic accessibility, and comorbid conditions such as obesity and obstructive sleep apnea. Evidence supports opioid-sparing analgesic strategies and selective postoperative monitoring to facilitate safe same-day discharge. In sinonasal surgery, airway protection and hemodynamic management remain key anesthetic considerations. Pediatric ENT procedures require particular attention to oxygen reserve, airway reactivity, and sedation risk. In laryngology, shared-airway procedures necessitate close surgeon-anesthesiologist coordination, while topical anesthesia techniques and targeted nerve blocks have improved tolerability of office-based laryngeal interventions.
SUMMARY: Ambulatory and office-based otolaryngologic surgery can be performed safely when anesthetic management is tailored to patient- and procedure-specific risks. Careful patient selection, detailed airway assessment, and interdisciplinary collaboration are essential to maintaining safety while expanding access to minimally invasive ENT procedures.
RECENT FINDINGS: Recent literature highlights the expanding role of office-based procedures as safe and cost-effective alternatives to operating room interventions when appropriate patient selection and monitoring are applied. Preoperative assessment should evaluate airway history, anatomic accessibility, and comorbid conditions such as obesity and obstructive sleep apnea. Evidence supports opioid-sparing analgesic strategies and selective postoperative monitoring to facilitate safe same-day discharge. In sinonasal surgery, airway protection and hemodynamic management remain key anesthetic considerations. Pediatric ENT procedures require particular attention to oxygen reserve, airway reactivity, and sedation risk. In laryngology, shared-airway procedures necessitate close surgeon-anesthesiologist coordination, while topical anesthesia techniques and targeted nerve blocks have improved tolerability of office-based laryngeal interventions.
SUMMARY: Ambulatory and office-based otolaryngologic surgery can be performed safely when anesthetic management is tailored to patient- and procedure-specific risks. Careful patient selection, detailed airway assessment, and interdisciplinary collaboration are essential to maintaining safety while expanding access to minimally invasive ENT procedures.