bandage-green

Neck Dissection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned away from field, head slightly extended, Bed turned 180 degrees
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, PONV, Venous Air Embolism

Anesthetic Approaches

1GETT
2GETT, Nasal Rae
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning and prep - Supine with a shoulder roll, head extended and turned toward the non-operative side, head of bed elevated about 30 degrees. The table is turned 90 or 180 degrees so the surgeon...

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