Cochlear implant surgery
From WikiAnesthesia
Cochlear implant surgery
| Anesthesia type |
General |
|---|---|
| Airway |
ETT |
| Lines and access |
PIV |
| Monitors |
Standard; facial nerve monitoring |
| Primary anesthetic considerations | |
| Preoperative |
Patients' hearing is limited |
| Intraoperative |
Facial nerve monitoring (avoid paralytics) |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this surgical procedure and its indications here.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
- Standard GA setup
- Consider straight connector with accordion to ETT
- Circuit extensions for 180-degree supine position
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
- Facial nerve monitoring
- PIV (consider 2nd IV in lower extremity with 180-degree positioning)
Induction and airway management
- GETA
Positioning
- 180-degree turn (head is away from anesthesia team)
- Head positioned away from operating site.
- Surgeons may conduct frequent head position changes intraoperatively
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Nirav Kamdar, Jashvin Patel, Chris Rishel and Tony Wang