Anesthesia for Head and Neck Surgery - Anesthesia for Procedures of the Neck
General considerations
General considerationsThe primary anesthetic concerns during neck surgery are establishing and maintaining a secure airway, tissue preservation, and nerve monitoring.
- An armored endotracheal tube (e.g., Tovell) may be necessary to prevent kinking.
- An elective tracheostomy under local anesthesia may be performed before induction of general anesthesia for some extensive procedures or for those with the potential for acute airway obstruction.
- Teflon injection of the vocal cords must be performed during awake laryngoscopy to allow continuous assessment of voice quality. The procedure should be performed with adequate local anesthesia and light sedation.
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Citation
Pino, Richard M., editor. "Anesthesia for Head and Neck Surgery - Anesthesia for Procedures of the Neck." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728312/all/Anesthesia_for_Head_and_Neck_Surgery___Anesthesia_for_Procedures_of_the_Neck.
Anesthesia for Head and Neck Surgery - Anesthesia for Procedures of the Neck. In: Pino RMR, ed. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728312/all/Anesthesia_for_Head_and_Neck_Surgery___Anesthesia_for_Procedures_of_the_Neck. Accessed February 15, 2025.
Anesthesia for Head and Neck Surgery - Anesthesia for Procedures of the Neck. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures (9th ed.). Wolters Kluwer. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728312/all/Anesthesia_for_Head_and_Neck_Surgery___Anesthesia_for_Procedures_of_the_Neck
Anesthesia for Head and Neck Surgery - Anesthesia for Procedures of the Neck [Internet]. In: Pino RMR, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2025 February 15]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728312/all/Anesthesia_for_Head_and_Neck_Surgery___Anesthesia_for_Procedures_of_the_Neck.
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