bandage-green

Deep Neck Space Abscess Drainage

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 180 degrees
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Not until the airway is secured - spontaneous ventilation is the safety net. Short-acting agent once the tube is confirmed.
Considerations : Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GETT
2GETT, Mask Induction
3MAC, Local Anesthetic
The Surgery

Imaging and the decision to drain - Contrast CT of the neck separates drainable pus from phlegmon, maps which spaces are involved, and shows how far below the hyoid the collection tracks. It also...

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