Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy
Authors' conclusion
NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy.
Study context
- Population
- Patients undergoing vocal cord polypectomy under a supporting laryngoscope
- Participants
- 20 patients
- Outcome
- Success rate of NIDP
Methodological detailssingle-centre, Emergency plan launched when non-intubated deep paralysis (NIDP) could not be implemented successfully
- Single-centre
- Emergency plan launched when NIDP could not be implemented successfully
Main finding
As reported in the abstract
NIDP
95%
- Only one patient failed in completing NIDP
- 1
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| Duration of anaesthesia | NIDP 13.0 ± 2.84 min |
| Duration of postoperative recovery | NIDP 5.47 ± 1.97 min |
Haemodynamics and blood gases during NIDP
- MAP fluctuated between 110 and 70 mmHg
- Heart rate stable at 60-100 beats per minute
- Partial pressure of oxygen and carbon dioxide maintained at safe levels
Satisfaction
- All patients and surgeons satisfied with NIDP
Safety
| Outcome | Values |
|---|---|
| Complications before discharge | NIDP 0 events |
Original publication
Non-intubated deep paralysis: a new anaesthesia strategy for vocal cord polypectomy. Perioper Med (Lond). Published 19 April 2023. doi:10.
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