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The involvement of caregivers of patients with dementia during mastoid surgery under local anaesthesia

Published online by Cambridge University Press:  27 October 2021

C Swords ,
S Patil ,
M Jog  and
M Yung
C Swords
Affiliation:
Department of ENT, Ipswich Hospital, Ipswich, UK
S Patil*
Affiliation:
Department of ENT, Ipswich Hospital, Ipswich, UK
M Jog
Affiliation:
Department of ENT, Ipswich Hospital, Ipswich, UK
M Yung
Affiliation:
Department of ENT, Ipswich Hospital, Ipswich, UK
*
Author for correspondence: Mr Sachin Patil, Department of ENT, Ipswich Hospital, Heath Road, Ipswich IP4 5PD, UK E-mail: Sachin.patil6@me.com
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Abstract

Background

With a growing ageing population, there is a higher prevalence of dementia in patients with conditions that can be managed surgically. Patients with dementia undergoing surgery under general anaesthesia often have poorer outcomes than those without. Therefore, local anaesthesia can be an option.

Methods

Two patients with severe dementia and advanced cholesteatoma were identified for operative management. They were deemed too high risk to proceed with general anaesthesia. This article describes our experience of performing mastoid surgery under local anaesthesia in the presence of a primary carer in the operating theatre.

Results

The complete extirpation of cholesteatoma was achieved in both cases. The carers reported that local anaesthesia helped to facilitate communication and aid patient co-operation.

Conclusion

Our experience, albeit limited to two cases, illustrates an alternative individualised peri-operative strategy in the surgical management of patients with dementia and concurrent advanced cholesteatoma.

Keywords

CholesteatomaMiddle EarSurgical ProceduresDementiaAnesthesiaCommunication
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 82 - 86
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Mr S Patil takes responsibility for the integrity of the content of the paper

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