Need of General Anesthesia for Laser Surgery (LAUP)
Snoring is a nuisance for those around. The vibration of pharyngeal soft tissue is the cause of snoring sound.
Loud snoring is the most common presenting symptom of obstructive sleep apnea (OSA). The wider recognition of OSA and its impact on the development of systemic and pulmonary hypertension, cardiac arrhythmias, heart failure and daytime sleepiness has occurred in the last decade.
Surgery to treat snoring is designed to reduce obstruction or narrowing in the anatomic area that is causing the snoring. Surgical treatment of snoring is generally focused on the nasal passages, palate and uvula, and tonsils. The goal of surgery is a successful night’s sleep for those around the snorer.
Most LAUP operations are performed under local anesthetic. Occasionally, however a general anesthetic will be required.
The Indications for GA
1-Patients who have very sensitive throat causing gag reflex.
2- Very obese and patients who has narrow mouth, big toungue, unable to keep mouth wide open to do the procedure.
3-Patient who needs complete removal of tonsils and associated procedure life Septoplasty, Nasal polypectomy, FESS
If you are having a general anesthetic, you may have to undergo certain tests e.g. blood routine, chest x-ray, ECG etc.
During anesthesia, special laser resistant endotracheal tubes are used to prevent any ignition hazard. These tubes are expensive.
Pre op preparation LAUP/LAPT
You will be asked to sign a consent form before surgery to take place. BP Pulse etc are checked on arrival.
One hr before surgery
1.Inj Glycopyralate 1 amp/0.2mg IM/IV
2.Inj.Emeset 4mg IV/IM
3.Inj Ceftriaxone 1gm IV ATD
4. Inj Dolonex 20mg/ or Inj Ketanov 30mg ATD -IM