bandage-green

Direct Laryngoscopy and Microlaryngeal Surgery

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, head slightly extended, arms tucked
Time : 30-60 min (short)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Yes
Considerations : Airway Fire Risk

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2General, TIVA, Propofol Drip, Remifentanil Drip
3GETT, 1/2 MAC Gas, Remifentanil Drip
The Surgery

Preoperative airway mapping - the surgeon reviews office flexible laryngoscopy (often recorded video), prior operative notes, and any CT or MRI to define the size, site, and mobility of the lesion...

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