Experiences of submucous resection operation under local anaesthesia with deep sedation

Abstract

Background: Submucous resection (SMR) operation can be done under either local or general anaesthesia. This operation under local anesthesia (LA) with deep sedation is safe, simple, cost effective and reliable procedure which can save both money and time in developing country like Bangladesh. Objective: To achieve the experiences regarding SMR operation under local anesthesia with deep sedation. Methods: After taking proper approval from hospital administration, fifty cases were selected for doing SMR operation with maintain all aseptic precaution in Mymensingh Medical College Hospital during July 2013 to July 2014 and the effectiveness was done after completion of operation. Results: The age range of patients were from 18-37 years of both sexes where male and female ratio was 13:12. Thirty two (64%) patients felt the procedure was completely painless (Grade 1), 16 (32%) patients complained of slight discomfort (Grade 2) but none of the patients had experienced of severe discomfort. None of them felt any nausea or dizziness after deep sedation. Conclusion: SMR operation under LA with deep sedation is very well tolerated, simple, safe, less costly, less time consuming and highly acceptable procedure to the patient. Rhinologist should practice local anesthesia with deep sedation to perform SMR during their daily practice specially in Bangladesh where economy is the major concern.