AROY, MERYL DC.

22 A

Functional Endoscopic Sinus

Surgery
( FESS)
 Definition

FESS stands for Functional Endoscopic Sinus Surgery. It is a

minimally invasive surgical procedure used to treat chronic
sinusitis and other sinus disorders. By using an endoscope, the
surgeon can see inside the sinuses and remove blockages or
diseased tissue, improving sinus drainage and function.
 Functional Endoscopic Sinus
Surgery (FESS) is a minimally
invasive procedure used to treat

Indication chronic and recurrent sinusitis,

nasal polyps, sinus mucoceles,
fungal sinusitis, sinus tumors,
and anatomical variations. It
involves using an endoscope to
remove blockages or diseased
tissue, improving sinus drainage
and function. FESS is typically
considered when symptoms
persist despite medical
treatment.
 Types

Functional Endoscopic Sinus Surgery

(FESS) includes various types such as maxillary
antrostomy, ethmoidectomy, sphenoidotomy,
frontal sinusotomy, nasal polypectomy, and
septoplasty. Each procedure addresses specific
sinus issues, aiming to improve drainage, remove
blockages, and restore normal sinus function
 Signs and Symptoms

Signs and symptoms indicating the

need for Functional Endoscopic Sinus
Surgery (FESS) include chronic nasal
congestion, recurrent sinus infections,
facial pain or pressure, persistent
headaches, postnasal drip, decreased
sense of smell or taste, purulent nasal
discharge, nasal polyps, and difficulty
breathing through the nose. These
symptoms often persist despite
medical treatment.
 Assessment:Detailed medical history and
physical examination.

Education: Inform about the procedure, risks,

and recovery. Nursing care
Preparation:Ensure fasting, administer
preoperative meds, obtain consent.

Intraoperative:

Setup:Prepare endoscopic equipment and

instruments.

Monitoring: Track vital signs, assist surgical

team.

Anesthesia: Support anesthesiologist, ensure

patient stability.
 Recovery:Monitor vital signs and consciousness,
assess for complications.

Pain Management: Administer pain meds, educate on

pain control.
Nasal Care: Teach nasal irrigation, use of nasal
sprays. Nursing care
Wound Care:Guide on surgical site care, schedule
follow-ups.
Activity Restrictions Advise on avoiding strenuous
activities.

Complications: Educate on signs of complications and

when to seek help.

Long-term Care:
Follow-ups Regular visits to monitor healing and
manage chronic sinusitis.
Supportive Care:Provide resources for ongoing
support.

These steps ensure comprehensive care and promote

optimal recovery for FESS patients.
 AROY, MERYL DC. 22 A

TOCOLYSIS
 Tocolysis is the medical intervention
aimed at delaying premature labor.
This is typically achieved through the
administration of medications that
inhibit uterine contractions, thereby
prolonging pregnancy and allowing

Definition
more time for fetal development.
Tocolytic therapy is used when there
are signs of preterm labor and the goal
is to reduce the risk of complications
associated with premature birth.
Common tocolytic agents include
beta-agonists, calcium channel
blockers, and magnesium sulfate.
 Indication

Tocolysis involves using medications to delay

premature labor, typically initiated when
contractions and cervical changes occur before
37 weeks of gestation. It's crucial in managing
preterm labor to reduce risks for both the mother
and the baby, allowing time for administering
treatments that can enhance fetal lung maturity
and stabilize maternal conditions.
Types
Tocolysis involves using medications to delay
premature labor by relaxing uterine contractions.
The main types of tocolytic agents include beta-
agonists (e.g., Terbutaline), calcium channel
blockers (e.g., Nifedipine), magnesium sulfate,
prostaglandin synthetase inhibitors (e.g.,
Indomethacin), oxytocin receptor antagonists (e.g.,
Atosiban), and nitric oxide donors (e.g.,
Nitroglycerin). These medications work through
different mechanisms to temporarily inhibit uterine
activity, providing a window to administer
treatments that can improve fetal outcomes and
stabilize maternal conditions before delivery.
Signs and Symptoms

Preterm labor signs and symptoms

include regular contractions, lower
abdominal pressure, pelvic pressure,
backache, vaginal discharge changes,
menstrual-like cramps, pelvic or
abdominal pain, and increased vaginal
pressure. Recognizing these signs is
crucial for timely intervention,
including tocolytic therapy, aimed at
delaying premature labor to improve
outcomes for both mother and baby.
Artificial Intelligence
in Healthcare
Discussing the role of artificial
intelligence in diagnostics and
treatment
Examples of artificial
intelligence applications in
medicine
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 Nursing care
Nursing care and management for preterm labor and tocolysis
involve thorough assessment and monitoring of uterine
contractions, fetal well-being, and maternal condition.
Administration of tocolytic medications aims to delay labor,
while supportive care includes positioning for comfort,
hydration, and emotional support. Collaboration with
healthcare teams ensures coordinated care, readiness for
potential delivery, and ongoing patient education to optimize
outcomes for both mother and baby.
Thank you for your attention