What is it about?

This case describes an uncommon complication of postprocedural unilateral nonallergic rhinitis in a patient who received moderate intravenous sedation (IV) for an elective oral/periodontal surgical procedure. Some authors suggest this potential problem is underreported, and may not be as rare as the literature implies.

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Why is it important?

The patient, a 48-year old female, received supplemental oxygen and ventilation monitoring via a CO2/O2 nasal cannula during the sedation/surgery. The procedure was completed uneventfully, but postoperatively (PO) she developed persistent rhinitis, sternutation, and rhinorrhea that peaked at day 4 PO, and then slowly started to resolve until symptoms completely gone at day 13 PO.

Perspectives

Rhinitis is a widespread disorder that can significantly affect a patient’s perceived everyday quality of life. In general, rhinitis is etiologically categorized as either allergic or nonallergic rhinitis (vasomotor, idiopathic) [1]. It is associated with either rhinorrhea, sneezing, itching, congestion, or all of the symptoms together [1].

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This page is a summary of: Persistent Postsurgical Idiopathic Rhinitis After Sedation Utilizing Supplemental Oxygen Via Nasal Cannula, Journal of Anesthesia and Anesthetic Drugs, November 2024, Acquire Publications LLC,
DOI: 10.54289/jaad2400101.
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