bandage-green

Nasal Fracture Reduction

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, arms tucked, Bed turned 90 degrees, Bed turned 180 degrees
Time : 5-30 min (very short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No surgical requirement; a full intubating dose only when aspiration risk pushes you to RSI.
Considerations : Aspiration risk / Full stomach, PONV, Throat Pack

Anesthetic Approaches

1GLMA
2GETT, Oral Rae
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Timing and assessment - the nose is re-examined once the swelling has settled, usually about 5 to 10 days after injury, and reduction is booked inside roughly two weeks while the fragments still...

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