Voice professionals and associated anaesthetic risk: a proposal to a perioperative airway-protective care bundle

Raquel Fonseca, Eunice Silva, S. Bento, D. Gonçalves, Elisabete Valente
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Abstract

Background: Voice professionals subjected to surgical procedures or anaesthesia are particularly susceptible, considering the multi-factor potential for damaging the vocal system. Such injuries are the most common reasons for anaesthetic morbidity and have even more serious repercussions for singers. Surgery in the abdominal region is singularly important, considering the vital role that abdominal support plays for respiratory dynamics and vocalisation. Perioperative management and planning and strict anaesthetic practices are fundamental for minimising this risk and promoting an optimum clinical outcome. The lack of guidelines adapted to this context justifies the need to gather together and review all existing evidence, which this case study aims to do. Case presentation: The clinical case concerns a 46year old female, a light opera singer, admitted for laparoscopic cholecystectomy. It describes the ample pre-anaesthetic assessment and education and lists the protective technical and pharmacological choices adopted during the surgery. The subsequent follow-up serves as the starting point for reflecting on the results obtained, preparing a suggested sequential approach for each perioperative stage. Conclusion: Even though vocal damage depends on the surgical and anaesthetic approach during the operation, anaesthesia for voice professionals requires rigorous planning beforehand, often being more complex than the surgical procedure. A multifaceted intervention including counselling, less invasive anaesthetic practices and systematic follow-up promote the key strategy – overall protection.
语音专业人员和相关麻醉风险:围手术期气道保护护理包的建议
背景:考虑到多种因素对发声系统的潜在损害,接受外科手术或麻醉的声音专业人员特别容易受到影响。这种伤害是最常见的原因麻醉发病率,甚至对歌手有更严重的影响。考虑到腹部支持对呼吸动力学和发声起着至关重要的作用,腹部手术尤为重要。围手术期的管理和计划以及严格的麻醉实践是最小化这种风险和促进最佳临床结果的基础。由于缺乏适合这一背景的指南,因此有必要收集和审查所有现有证据,这也是本案例研究的目的。病例介绍:临床病例涉及一名46岁女性,轻歌剧演唱家,接受腹腔镜胆囊切除术。它描述了充足的麻醉前评估和教育,并列出了手术期间采用的保护性技术和药物选择。随后的随访作为反思所获得结果的起点,为每个围手术期准备建议的顺序方法。结论:尽管手术过程中声带损伤取决于手术和麻醉方式,但对于声乐专业人员来说,麻醉需要事先进行严格的计划,往往比手术更复杂。多方面的干预措施,包括咨询、侵入性较小的麻醉做法和系统的后续行动,促进了关键战略——全面保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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