bandage-green

Laryngectomy (Total, Partial, Supraglottic)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, head slightly extended, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Ask Surgeon
Blocks : Superficial Cervical Plexus
Considerations : Arterial line, Central line, Aspiration risk / Full stomach, PONV, Venous Air Embolism

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3GETT, Local Anesthetic
The Surgery

Panendoscopy and staging - The tumor is scoped and biopsied, often at a separate earlier sitting, and cross-sectional imaging maps cartilage invasion and nodal spread. This is where the true airway...

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