bandage-green

Cleft Lip and Palate Repair

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head slightly extended, Bed turned 90 degrees, Bed turned 180 degrees
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Single intubating dose, then no more unless asked - the case must end with full airway tone and a strong cough.
Considerations : PONV, Throat Pack

Anesthetic Approaches

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

The staged timetable - Cleft care is a sequence, not an operation. Lip repair goes at around 3 months, palate repair at roughly 9 to 18 months to get the muscle sling working before speech develops,...

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