Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model
Abstract Background Septoplasty, a common surgical procedure to correct a deviated septum, can be performed under either general anesthesia or deep sedation anesthesia. The choice of anesthesia can influence the duration of anesthesia and surgical outcomes, impacting the feasibility of outpatient pr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Anesthesia, Analgesia and Critical Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s44158-023-00120-8 |
| _version_ | 1797451051232657408 |
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| author | Laura Campiglia Guglielmo Consales Lucia Zamidei Matteo Garotta Antonio Sarno Iacopo Cappellini |
| author_facet | Laura Campiglia Guglielmo Consales Lucia Zamidei Matteo Garotta Antonio Sarno Iacopo Cappellini |
| author_sort | Laura Campiglia |
| collection | DOAJ |
| description | Abstract Background Septoplasty, a common surgical procedure to correct a deviated septum, can be performed under either general anesthesia or deep sedation anesthesia. The choice of anesthesia can influence the duration of anesthesia and surgical outcomes, impacting the feasibility of outpatient procedures. Methods The institutional review board approved the protocol, and we obtained written informed consent from all participants. This retrospective, single-center observational study analyzed data from 586 patients who underwent rhino septoplasty at Santo Stefano Hospital in Prato, Italy, from 2017 to 2021. Patients received either general anesthesia or deep sedation anesthesia. Propensity score matching and inverse probability weighting were used to balance patient characteristics. The main outcome variable was discharge time, with anesthesia time and surgical time as covariates. Statistical analysis was conducted using R software. Results Patients who received deep sedation anesthesia had a significantly shorter duration of anesthesia compared to those who received general anesthesia. A multivariate linear regression model showed that the type of anesthesia had a strong positive association with discharge time, while anesthesia time had a weaker negative association, although not statistically significant. Conclusions Deep sedation anesthesia is associated with a shorter duration of anesthesia compared to general anesthesia during nasal septal surgery, suggesting it could be a more feasible option for outpatient procedures. However, the choice of anesthesia should be tailored to individual patient factors and surgical requirements. Further research is needed to confirm these findings and explore the potential benefits of sedation anesthesia in outpatient nasal septal surgery. Question How do general anesthesia and deep sedation anesthesia compare in terms of duration of anesthesia and surgical outcomes during nasal septal surgery? Findings Our study found that deep sedation anesthesia was associated with a shorter duration of anesthesia compared to general anesthesia in patients undergoing nasal septal surgery. However, there were no significant differences in the duration of the surgical procedure. Meaning The findings suggest that deep sedation anesthesia could potentially make nasal septal surgery more feasible as an outpatient procedure. |
| first_indexed | 2024-03-09T14:49:21Z |
| format | Article |
| id | doaj.art-71774b8094ca436b8b943e9892ce93bd |
| institution | Directory Open Access Journal |
| issn | 2731-3786 |
| language | English |
| last_indexed | 2024-03-09T14:49:21Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Anesthesia, Analgesia and Critical Care |
| spelling | doaj.art-71774b8094ca436b8b943e9892ce93bd2023-11-26T14:33:04ZengBMCJournal of Anesthesia, Analgesia and Critical Care2731-37862023-09-013111010.1186/s44158-023-00120-8Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting modelLaura Campiglia0Guglielmo Consales1Lucia Zamidei2Matteo Garotta3Antonio Sarno4Iacopo Cappellini5Department of Critical Care, Section of Anesthesiology and Critical Care, Azienda USL Toscana Centro, Ospedale Santo StefanoDepartment of Critical Care, Section of Anesthesiology and Critical Care, Azienda USL Toscana Centro, Ospedale Santo StefanoDepartment of Critical Care, Section of Anesthesiology and Critical Care, Azienda USL Toscana Centro, Ospedale Santo StefanoDepartment of Surgery, Section of Ear Nose Throat Surgery, Azienda USL Toscana Centro, Ospedale Santo StefanoDepartment of Surgery, Section of Ear Nose Throat Surgery, Azienda USL Toscana Centro, Ospedale Santo StefanoDepartment of Critical Care, Section of Anesthesiology and Critical Care, Azienda USL Toscana Centro, Ospedale Santo StefanoAbstract Background Septoplasty, a common surgical procedure to correct a deviated septum, can be performed under either general anesthesia or deep sedation anesthesia. The choice of anesthesia can influence the duration of anesthesia and surgical outcomes, impacting the feasibility of outpatient procedures. Methods The institutional review board approved the protocol, and we obtained written informed consent from all participants. This retrospective, single-center observational study analyzed data from 586 patients who underwent rhino septoplasty at Santo Stefano Hospital in Prato, Italy, from 2017 to 2021. Patients received either general anesthesia or deep sedation anesthesia. Propensity score matching and inverse probability weighting were used to balance patient characteristics. The main outcome variable was discharge time, with anesthesia time and surgical time as covariates. Statistical analysis was conducted using R software. Results Patients who received deep sedation anesthesia had a significantly shorter duration of anesthesia compared to those who received general anesthesia. A multivariate linear regression model showed that the type of anesthesia had a strong positive association with discharge time, while anesthesia time had a weaker negative association, although not statistically significant. Conclusions Deep sedation anesthesia is associated with a shorter duration of anesthesia compared to general anesthesia during nasal septal surgery, suggesting it could be a more feasible option for outpatient procedures. However, the choice of anesthesia should be tailored to individual patient factors and surgical requirements. Further research is needed to confirm these findings and explore the potential benefits of sedation anesthesia in outpatient nasal septal surgery. Question How do general anesthesia and deep sedation anesthesia compare in terms of duration of anesthesia and surgical outcomes during nasal septal surgery? Findings Our study found that deep sedation anesthesia was associated with a shorter duration of anesthesia compared to general anesthesia in patients undergoing nasal septal surgery. However, there were no significant differences in the duration of the surgical procedure. Meaning The findings suggest that deep sedation anesthesia could potentially make nasal septal surgery more feasible as an outpatient procedure.https://doi.org/10.1186/s44158-023-00120-8Nasal septal surgeryDeep sedation anesthesiaInverse probability weighting |
| spellingShingle | Laura Campiglia Guglielmo Consales Lucia Zamidei Matteo Garotta Antonio Sarno Iacopo Cappellini Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model Journal of Anesthesia, Analgesia and Critical Care Nasal septal surgery Deep sedation anesthesia Inverse probability weighting |
| title | Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model |
| title_full | Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model |
| title_fullStr | Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model |
| title_full_unstemmed | Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model |
| title_short | Deep sedation for nasal septal surgery: an observational retrospective study with an inverse probability weighting model |
| title_sort | deep sedation for nasal septal surgery an observational retrospective study with an inverse probability weighting model |
| topic | Nasal septal surgery Deep sedation anesthesia Inverse probability weighting |
| url | https://doi.org/10.1186/s44158-023-00120-8 |
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