Table 3.
Study | n | Inclusion | Exclusion | Indication | Age (Mean in years) | Anesthetic and narcotic combination used |
---|---|---|---|---|---|---|
Eberhart 2003 18 | 88 | ASA grade 1 or 2, undergoing ESS | n/a | Diffuse polypoid pansinusitis, Chronic sinusitis | 33 | Propofol/remifentanil vs. isoflurane/alfentanil |
Tirelli 2004 21 | 64 | ASA grade 1 or 2 undergoing ESS | n/a | Simple chronic sinusitis, chronic sinusitis with polyposis | TIVA- 48 INA- 45 |
Propofol/remifentanil vs. Isoflurane/fentanyl |
Wormald 2005 23 | 56 | ASA grade 1 or 2, undergoing ESS | Receiving cardiovascular active medications and anticoagulation medications | Allergic fungal sinusitis, nasal polyposis, chronic rhinosinusitis | n/a | Propofol/remifentanil vs sevoflurane/fentanyl |
Beule 2007 20 | 46 | ASA grade 1 or 2, 18–75 yo, Polypoid chronic pansinusitis without allergic mucin (LM ≥ 12), refractory to medical management | Noninflammatory disease of paranasal sinus, allergy to anesthetic, medication or condition associated with impaired hemostasis, altered coagulation factors, pre or intraoperative use of NSAIDs, sympathomimetics, colloids | Chronic rhinosinusitis with nasal polyposis | TIVA- 43 INA- 46 |
Propofol/fentanyl vs. sevoflurane/fentanyl |
Ahn 2008 22 | 40 | ASA grade 1 or 2, undergoing ESS | Disease or medication related to coagulation or cardiovascular system | Chronic sinusitis with ≥ 2 sinuses involved | TIVA- 49 INA- 41 |
Propofol/remifentanil vs. sevoflurane/remifentanil |
Yoo 2010 19 | 60 | ASA grade 1 or 2, undergoing ESS | BMI ≥30, alcohol/drug abuse, pregnancy, meds that impact MAC, communication problems, allergic fungal sinusitis, nasal polyposis | n/a | TIVA- 37 INA (sevo)- 43 INA (des)- 43 |
Propofol/remifentanil vs. sevoflurane/remifentanil vs. desflurane/remifentanil |
Ankichetty 2011 17 | 40 | ASA grade 1 or 2, aged 16–60 years old, undergoing ESS | Bleeding disorder, receiving anticoagulation therapy, prior ESS, major hepatic, renal or CV disease | n/a | TIVA- 32 INA- 34 |
Propofol/fentanyl vs. isoflurane/fentanyl |
Abbreviations: ASA - American Society of Anesthesiologists, ESS - Endoscopic sinus surgery, n/a - not available, TIVA - total intravenous anesthesia, INA - inhaled anesthesia, CV -Cardiovascular, LM - Lund-Mackay score, BMI - body mass index, sevo- sevoflurane, des - desflurane.