Alfaro-Iraheta FA, Nava-Domínguez VH, Cabrera-Ramírez JF, Albores-Méndez EM, Romo-Magdaleno JA, Moreno-Reynoso AS, Campos-Gutiérrez RI

Language: Spanish
References: 0
Page: 222-227
PDF size: 179.68 Kb.

ABSTRACT

Background: The use of the technique of tumescent local anesthesia in rhinoseptal pathology is not widespread in our country. However, in countries such as Germany and the United States, it is a widely used technique.
Objective: To demonstrate that the local 15-point tumescent anesthesia technique (TALT 15) is safe and effective to perform rhinoseptumplasty in the consulting room and to compare the morbidity associated with TALT 15 versus balanced general anesthesia.
Material and Method: A comparative, ambispective, longitudinal study performed from December 1st 2014 to November 1st 2015 proposing the modification of the technique of 11 points of anesthesia from Ashraf to TALT 15. The points involved in TALT 15 are described. The morbidities between TALT 15 and general balanced anesthesia are compared. Likewise, the results were compared with those obtained in the cost-effectiveness study of Turrubiates et al. (2009), in order to objectively evaluate the benefits offered by the TALT of the 15 points (TALT 15) for the management of these pathologies without the need of using balanced general anesthesia and operating room.
Results: Thirty-five patients underwent rhinoseptal surgical procedures using TALT 15, predominantly female patients; it was reported less transoperative bleeding, less postoperative pain and faster recovery.
Conclusions: The use of the local 15-point tumescent anesthesia technique in surgical procedures of rhinoseptal pathology outside the operating room, in addition to reducing costs in the patient’s medical care, proves to be safe and effective for employment on a daily basis.