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
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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