Jashvin at 18:21, 1 February 2023

2023-02-01T18:21:48Z

← Older revision		Revision as of 11:21, 1 February 2023
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	Temporal artery biopsy is the primary modality ~~for establishing a diagnosis of~~ giant cell (temporal) arteritis. Giant cell arteritis is a chronic vasculitis affecting medium and large diameter arteries, predominantly in older individuals~~. The~~ aortic arch vessels and branches, and ~~particularly branches of the~~ external carotid artery~~, are most prominently affected~~. The clinical manifestations result from inflammation of the affected arteries or from their gradual occlusion leading to signs of arterial ischemia		Temporal artery biopsy is the primary modality to diagnose giant cell arteritis / temporal arteritis.

			Giant cell arteritis is a chronic vasculitis affecting medium and large diameter arteries. It predominantly affects older individuals and will affect: aortic arch vessels and branches, and external carotid artery. The clinical manifestations result from inflammation of the affected arteries or from their gradual occlusion leading to signs of arterial ischemia.

	== Overview ==		== Overview ==
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	\|-		\|-
	\|Indications		\|Indications
	\|		\|Giant Cell Arteritis
	\|		\|
	\|-		\|-
	\|Position		\|Position
	\|		\|Supine
	\|		\|
	\|-		\|-

Jashvin: Created page with "{{Infobox surgical procedure | anesthesia_type = MAC | airway = Nasal Canual | lines_access = PIV | monitors = Standard | considerations_preoperative = Shared workspace – the surgeon will be prepped and draped at roughly the ear | considerations_intraoperative = Be careful not to break sterile field when giving jaw thrust. Both arms likely tucked | considerations_postoperative = }} Temporal artery biopsy is the primary modality for establishing a diagnosis of giant c..."

2023-02-01T18:19:49Z

Created page with "{{Infobox surgical procedure | anesthesia_type = MAC | airway = Nasal Canual | lines_access = PIV | monitors = Standard | considerations_preoperative = Shared workspace – the surgeon will be prepped and draped at roughly the ear | considerations_intraoperative = Be careful not to break sterile field when giving jaw thrust. Both arms likely tucked | considerations_postoperative = }} Temporal artery biopsy is the primary modality for establishing a diagnosis of giant c..."

New page

{{Infobox surgical procedure
| anesthesia_type = MAC
| airway = Nasal Canual
| lines_access = PIV
| monitors = Standard
| considerations_preoperative = Shared workspace – the surgeon will be prepped and draped at roughly the ear
| considerations_intraoperative = Be careful not to break sterile field when giving jaw thrust. Both arms likely tucked
| considerations_postoperative =
}}

Temporal artery biopsy is the primary modality for establishing a diagnosis of giant cell (temporal) arteritis. Giant cell arteritis is a chronic vasculitis affecting medium and large diameter arteries, predominantly in older individuals. The aortic arch vessels and branches, and particularly branches of the external carotid artery, are most prominently affected. The clinical manifestations result from inflammation of the affected arteries or from their gradual occlusion leading to signs of arterial ischemia

== Overview ==

=== Indications ===
Giant cell arteritis conformation

=== Surgical procedure ===
Incision is generally made overlying the superficial temporal artery at the previously chosen side and site (which can be found via doppler)

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
|Shared workspace with surgeon. Caution when giving jaw thrust
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===
Can be done under local only.

MAC with Propofol

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===
Standard montioring

=== Induction and airway management ===

=== Positioning ===
Supine

Arms tucked

=== Maintenance and surgical considerations ===
Caution when giving jaw thrust given close proximity to surgery.

=== Emergence ===

== Postoperative management ==

=== Disposition ===
Home (same day procedure)

=== Pain management ===
Fentanyl + local give by surgeon

=== Potential complications ===
Facial nerve injury

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Indications
|
|
|-
|Position
|
|
|-
|Surgical time
|30-60 minutes
|
|-
|EBL
|Minimal
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|Minimal
|
|-
|Potential complications
|Facial nerve injury
|
|}

== References ==

[[Category:Surgical procedures]]

Temporal Artery Biopsy - Revision history

Jashvin at 18:21, 1 February 2023