Dacryocystorhinostomy
| Anesthesia type |
GA or MAC |
|---|---|
| Airway | |
| Lines and access |
1 PIV |
| Monitors |
Standard |
| 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
persistent symptomatic obstruction of the nasolacrimal duct
Surgical procedure
Fistula from canaliculus to nasopharynx is created to bypass obstruction.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| 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
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1[1] | Variant 2 | |
|---|---|---|
| Unique considerations | Nasal packing with phenylephrine drains into upper airway. (must suction well) | |
| Position | Supine, table rotated 90-180 | |
| Surgical time | 1-1.5 hours | |
| EBL | 100-200 | |
| Postoperative disposition | home | |
| Pain management | Pain scores 3-4 | |
| Potential complications | failed drainage, bleeding, infection, CSF leak |
References
- ↑ Jaffe, Richard (2019). Anesthesiologist's manual of surgical procedures. Wolters Kluwer Health. pp. 181–184.