The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan.

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SYNPOSIS

The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures.

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TIMESTAMPS

00:00 - Introduction
01:34 - Discussing Safety in Office Procedures
07:47 - Safety Protocols and Equipment
19:11 - Anesthesia and Sedation Protocols
27:29 - Handling Emergencies and Reversal Agents
30:00 - Local Anesthesia and Toxicity
38:29 - Effective Anesthesia Techniques for Office Procedures
41:25 - Bleeding Control in Office Procedures
53:36 - Handling Office Procedure Complications
01:00:19 - Final Thoughts and Contact Information

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RESOURCES

Dr. Scott Fortune
https://www.enthealth.org/find-ent/d-scott-fortune/

Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedures
https://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract

AAOA anaphylaxis guidelines
https://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf