bandage-green

Choanal Atresia Repair

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Bed turned 90 degrees, Bed turned 180 degrees, arms tucked
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Neonatal resuscitation / NICU standby

Anesthetic Approaches

1GETT, Oral Rae
2GETT, Oral Rae, Mask Induction
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Endoscopic assessment - a rigid endoscope is passed along the floor of the nose to define whether the atretic plate is bony, membranous, or mixed, and how thick it is. Perforation and dilation - the...

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