Ear, audiovestibular, and temporal bone procedures
From WikiAnesthesia
Ear, audiovestibular, and temporal bone procedures
| Anesthesia type |
General |
|---|---|
| Airway |
ETT |
| Lines and access |
1 PIV |
| Monitors |
Standard ASA |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative |
Nerve monitoring often used, avoid muscle relaxants and consider remifentanil |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Procedures include
- Tympanoplasty/mastoidectomy
- Myringoplasty
- Meatoplasty
- Stapedectomy
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Bed will generally be turned either 90 degrees or 180 degrees away for optimal surgical access.
Maintenance and surgical considerations
Many procedures involve nerve monitoring, which preclude the use of muscle relaxants. Consider remifentanil infusion.
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: Tony Wang and Chris Rishel