Difference between revisions of "Rhinoplasty and/or septoplasty"

Rhinoplasty and/or septoplasty
Anesthesia type
Airway
Lines and access
Monitors
	Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
	Article quality
Editor rating	Unrated
User likes	0

VisualWikitext

Latest revision as of 17:07, 4 April 2022

Provide a brief summary of this surgical procedure and its indications here.

Overview

Indications: Cosmetic or functional restoration of the airway

Surgical procedure: Remodeling of the nasal contour and/or reconstruction of the nasal septum

Preoperative management

Patient evaluation


System	Considerations
Airway	Nasal obstruction
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies: As Indicated by H&P

Operating room setup

Patient preparation and premedication: Standard

Regional and neuraxial techniques: N/A

Intraoperative management

Monitoring and access: Standard monitors, 18G PIV x 1

Induction and airway management: Standard induction and intubation, consider oral RAE tube per surgeon's preference

Positioning Supine, table may be turned 90 or 180 degrees.

Maintenance and surgical considerations Nasal cavity is often injected with lidocaine with epi by surgeons (some still use cocaine), both of which can elevate HR & BP. Volatile anesthetic or TIVA with muscle relaxant. Surgeons may place nasal splits or packing. Surgical time 1-2.5 hours.

Emergence Nose may be packed postop necessitating oral airway, suction oropharynx well before extubation as blood may collect in back of throat.

Postoperative management

Disposition Routine PACU

Pain management

Potential complications Septal perforation, bleeding, infection

Procedure variants


	Variant 1	Variant 2
Unique considerations
Position
Surgical time	1-2.5
EBL	Minimal
Postoperative disposition
Pain management
Potential complications

References

Top contributors: Ed Nguyen and Tony Wang

@@ Line 1: / Line 1: @@
-.
+{{Infobox surgical procedure
+| anesthesia_type =
+| airway =
+| lines_access =
+| monitors =
+| considerations_preoperative =
+| considerations_intraoperative =
+| considerations_postoperative =
+}}
+Provide a brief summary of this surgical procedure and its indications here.
+== Overview ==
+=== Indications: Cosmetic or functional restoration of the airway ===
+=== Surgical procedure: Remodeling of the nasal contour and/or reconstruction of the nasal septum ===
+== Preoperative management ==
+=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
+{| class="wikitable"
+|+
+!System
+!Considerations
+|-
+|Airway
+|Nasal obstruction
+|-
+|Neurologic
+|
+|-
+|Cardiovascular
+|
+|-
+|Pulmonary
+|
+|-
+|Gastrointestinal
+|
+|-
+|Hematologic
+|
+|-
+|Renal
+|
+|-
+|Endocrine
+|
+|-
+|Other
+|
+|}
+=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->: As Indicated by H&P ===
+=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
+=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. -->: Standard ===
+=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. -->: N/A ===
+== Intraoperative management ==
+=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. -->: Standard monitors, 18G PIV x 1 ===
+=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. -->: Standard induction and intubation, consider oral RAE tube per surgeon's preference ===
+=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> Supine, table may be turned 90 or 180 degrees. ===
+=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> Nasal cavity is often injected with lidocaine with epi by surgeons (some still use cocaine), both of which can elevate HR & BP.  Volatile anesthetic or TIVA with muscle relaxant. Surgeons may place nasal splits or packing. Surgical time 1-2.5 hours. ===
+=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> Nose may be packed postop necessitating oral airway, suction oropharynx well before extubation as blood may collect in back of throat. ===
+== Postoperative management ==
+=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> Routine PACU ===
+=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
+=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> Septal perforation, bleeding, infection ===
+== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
+{| class="wikitable wikitable-horizontal-scroll"
+|+
+!
+!Variant 1
+!Variant 2
+|-
+|Unique considerations
+|
+|
+|-
+|Position
+|
+|
+|-
+|Surgical time
+|1-2.5
+|
+|-
+|EBL
+|Minimal
+|
+|-
+|Postoperative disposition
+|
+|
+|-
+|Pain management
+|
+|
+|-
+|Potential complications
+|
+|
+|}
+== References ==
+[[Category:Surgical procedures]]