Difference between revisions of "Ear, audiovestibular, and temporal bone procedures"
From WikiAnesthesia
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=== 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. --> === | === 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. --> === | ||
Consider induction with succinylcholine instead of non-depolarizing muscle relaxant | Consider induction with succinylcholine instead of non-depolarizing muscle relaxant if nerve monitoring is needed | ||
=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> === | === Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> === | ||
Revision as of 14:02, 10 December 2021
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
N/A
Operating room setup
Prepare for patient bed rotation
Patient preparation and premedication
N/A
Regional and neuraxial techniques
N/A
Intraoperative management
Monitoring and access
- Standard ASA monitors
- 5-lead EKG
- 1 PIV
Induction and airway management
Consider induction with succinylcholine instead of non-depolarizing muscle relaxant if nerve monitoring is needed
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