bandage-green

Mandibular Reconstruction with Free Flap

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned away from field
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Aspiration risk / Full stomach, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, Nasal Rae
2GETT
The Surgery

Neck dissection and exposure - the neck is opened to expose recipient vessels and to clear nodes if the indication is cancer, and the mandible is exposed for resection. Resection - the diseased...

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