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