Minerva anestesiologica
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Minerva anestesiologica · Nov 2018
Randomized Controlled Trial Comparative StudyThe role of intraoperative stroke volume variation on bleeding during functional endoscopic sinus surgery.
Functional endoscopic sinus surgery (FESS) is a minimally-invasive surgical technique for patients with paranasal sinus pathology. Surgical bleeding reduces operative field visibility and increases the incidence of serious complications. Epinephrine injection into the nasal mucosa and controlled hypotension are used to minimize bleeding. Hypotension carries risks and sometimes does not reduce surgical bleeding. The goal of this study is to discover which hemodynamic parameter better correlates with surgical bleeding. ⋯ Targeting SVV larger than 12% achieves a possible reduction of the intraoperative bleeding in patients undergoing FESS.