Anesthesia for Panendoscopy : The Challenging Role of Nurse Anesthetist

Authors

  • Sirijunya Junyatham Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Saranya Hengphaisan Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Chanisa Mettapol Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Saowapark Chumpathong Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Panendoscopy, Anesthesia, The Challenging Role of Nurse Anesthetist

Abstract

Panendoscopy is a diagnostic procedure in uncertain malignancy patients according to head and neck lesions. Steps by steps direct visualization and tissue biopsy would be performed to identify the origin and stage of malignancy. Anesthetic management of the procedure can be challenging due to stenotic airway, concurrent airway sharing among surgeons and anesthesiologists. Airway management, detection, and treatment of intraoperative airway obstruction and desaturation are crucial. An expert nurse anesthetist is essential for patient care. The role of a nurse anesthetist is highly demanding, physically evaluated and mentally prepared during the preoperative visit, room set up with medication and specialized equipment, cooperating with the anesthesiologist during the procedure and handing over the patient to the postanesthetic care unit, and early detection of any postoperative complications, aiming for the best perioperative outcome for the patients.

References

Valentin A, Goetz M, Hetzel J, et al. Routine panendoscopy in oral squamous cell cancer patients: mandatory or facultative?. Clinical Oral Investigations Journal. 2021;25(3): 1245-54.

Pincet L, Sandre C, Lang FJW, Colin V. Oncologic Panendoscopy: Description of an Optimized Procedure Based on Our Experience. International Archives of Otorhinolaryngology. 2022;26(1): 125-31.

Ellard L, Wong DT.Anesthesia for airway panendoscopy. In Abdelmalak B, Doyle DJ, editors. Anesthesia for otolaryngologic surgery.1st ed.New York:Cambridge University Press; 2013: 228-36.

Apfelbaum JL, Silverstien JH, Chung FF, et al. Practice guidelines for postanesthetic care: an updated report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2013; 118:291-307.

Eissner F, Haymerle G, Brunner M. Risk factors for acute unplanned tracheostomy during panendoscopy in HNSCC patients. Public Library of Science Journal. 2018;13(12): e0207171.

Wong P, Wong J, Mok MU. Anesthesia management of acute airway obstruction. Singapore Medical Journal. 2016;57: 110-7.

Patel A. Anethesia for Otolaryngologic and Head-Neck surgery. In: Gropper MA, editor. Miller’s anesthesia. 9th ed. Philadelphia: Elsevier; 2020: 2010-35.

Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022;136(1): 31-81.

Mantaga S, Nithiutha J. Acute Airway Obstruction Management in Patients with Ear Nose Throat Problems. Thai Journal of Anesthesiology. 2021;47(3): 271-9. (in Thai)

Chaikham R, Raksanaves L, Pichaya N, et al. Abstract: Factors Predicting Nutritional Behaviors among Patients with Head and Neck Cancer at Chonburi Cancer Hospital. Journal of the Department of Medical Services. 2021;43(6): 68-73.

Tareerath M, Chumpathong S. Anesthesia for Patients with Tracheobronchial Stenosis: Role of Nurse Anesthetist. Journal of The Royal Thai Army Nurses. 2022;23(1): 33-40. (in Thai)

Hamour AF, Laliberte F, Levy J, et al. Overprescription of opioid analgesia is common following ambulatory Otolaryngology-Head and Neck surgery procedures: A multicenter study. World Journal of Otorhinolaryngology – Head and Neck Surgery. 2022;8(2): 145-51.

Johnson Pa, Ganapathy A, Narasimhan R. New Order of the Ages: Anesthesia in Bronchoscopy–Current Clinical Practice. Journal of Association of Pulmonologist of Tamil Nadu. 2020;3(3): 128-32.

Kim TK, Obara S, Johnson KB. Basic principles of pharmacology. In: Gropper MA, editor. Miller’s anesthesia. 9th ed. Philadelphia: Elsevier; 2020: 462-570.

Doyle DJ. Anesthesia for ear, nose, and throat surgery. In: Miller RD, editor. Miller’s anesthesia. 8th ed. Philadelphia: Elsevier; 2015: 2523-49.

Rudlof B, Hohenhorst W. Use of Apneic Oxygenation for the Performance of Panendoscopy. American Academy of Otolaryngology-Head and Neck Surgery Foundation. 2013;149(2): 235–9.

Artime CA, Hagberg CA. Airway management in adult. In: Gropper MA, editor. Miller’s anesthesia. 9th ed. Philadelphia: Elsevier; 2020: 1370-412.

Shahangian A, Damrose E, Bronchoscopy in Panendoscopy: Review and assessment. The Journal of Laryngology and Otology. 2015; 129(12): 1220-3.

Juang J, Cordoba M, Ciaramella A, et al. Incidence of airway complications associated with deep extubation in adults. BioMed Central Anesthesiology. 2020;20(1): 274-82.

Saardwai P, Wivatvanit S. The Development of Nurse Anesthetists’Competency Assessment Scale, Phramongkutklao Hospital. Journal of The Royal Thai Army Nurses.2019;20(2): 123-30. (in Thai)

Dejarkom S, Wangdee A, Jirakulsawat. Nursing Care in the post anesthesia care unit. Thai Journal of Anesthesiology.2014; 40(1): 46-52. (in Thai)

Aldrete JA. The post-anesthesia recovery score revisited. Journal of Clinical Anesthesia. 1995; 7 :89-91. 23.Suton P, Pongraweewan O.Postoperative Round. Thai Journal of Anesthesiology. 2020; 46(2): 119-24. (in Thai)

Palumbo P, Tellan G, Perotti B, et al. Modified PADSS (Post Anesthesia Discharge Score System) for monitoring outpatient discharge: Annali Italiani di Chirurgia Journal. 2013;84(6): 661-5.

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Published

01-09-2023

How to Cite

1.
Junyatham S, Hengphaisan S, Mettapol C, Chumpathong S. Anesthesia for Panendoscopy : The Challenging Role of Nurse Anesthetist. J Royal Thai Army Nurses [Internet]. 2023 Sep. 1 [cited 2024 Nov. 19];24(2):10-8. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261839

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Academic articles