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


Procedures include

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