Abstract

Introduction: Functional endoscopic sinus surgery (FESS) has been emerged as treatment of choice for chronic rhinosinusitis with or without nasal polyp refractory to medical treatment. During the surgery, even a small amount of bleeding can decrease visibility of the surgical field and is directly related to increased risk of complications and surgery failure. Hence it is important to minimize bleeding during the surgery. Preoperative preparation using antibiotic and steroid medications, intra-operative use of local decongestant and hypotensive anaesthesia by an expert anaesthetist are the methods which are being used to control bleeding during FESS and better visualization of surgical field. Many drug combinations and protocols for controlled hypotensive anaesthesia have been used and compared in past years

Description

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