| 12. Upper Gastrointestinal Dilation and Tubal Prosthesis Insertion |
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| n = number of cases where information was provided |
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ANALGESIA AND ANAESTHESIA
| Table 71. Analgesia and anaesthesia used for the procedure
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None |
LA |
Sedation |
GA |
Sub-total |
Not answered |
Total |
| Flexible endoscopic dilation |
18 |
728 |
1,252 |
202 |
2,200 |
17 |
2,217 |
| Flexible endoscopic dilation followed by tubal prosthesis |
0 |
17 |
41 |
6 |
64 |
0 |
64 |
| Flexible endoscopic insertion of tubal prosthesis |
4 |
136 |
294 |
56 |
490 |
6 |
496 |
| Rigid endoscopic dilation |
0 |
2 |
13 |
131 |
146 |
2 |
148 |
Rigid endoscopic dilation followed by tubal prosthesis |
0 |
0 |
1 |
7 |
8 |
1 |
9 |
| Endoscopic insertion of tubal prosthesis other than oesophagus |
0 |
4 |
4 |
3 |
11 |
0 |
11 |
| Total |
22 |
887 |
1,605 |
405 |
2,919 |
26 |
2,945 |
*Local anaesthesia = topical local anaesthesia to the oropharynx.
Although clinicians were invited to give multiple answers to the type of anaesthesia/analgesia used, interestingly, none did. It can only be assumed therefore
that none used a combined topical local anaesthesia with either sedation or general anaesthesia. From Table 71, 58% (1,587/2,754) of the flexible endoscopic procedures
were performed under sedation, 32% (881/2,754) under topical local anaesthesia and 10% (264/2,754) under a general anaesthetic. 9% (14/154) of the rigid endoscopic procedures were performed under sedation and 90% (138/154) under a general anaesthetic. The high use of general anaesthesia for rigid endoscopic procedures may reflect the discomfort of
the technique which is being used mainly by thoracic and ENT surgeons on lists with an attendant anaesthetist.
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