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Anesthesia for Ears, Nose, and Throat Surgery

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Anesthesiology

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Abstract

Otorhinolaryngologic procedures are among the most common surgeries performed in children worldwide. Technological advances have enabled the evolution of minimally invasive surgical techniques with an associated reduction in patient discomfort and expedited postoperative recovery. Nevertheless, these surgeries should not be considered trivial. They may involve a shared, partially obstructed or soiled airway, and include surgeries that have among the highest incidence of postoperative nausea, emesis, and emergence delirium. While the most otorhinolaryngologic procedures have a common surgical goal, there exists much inter-institutional variation in the preferred surgical technique and the anesthetic strategy used to accomplish the procedural objective. Here we will present a range of head and neck surgical topics for consideration from the perspective of a pediatric anesthesiologist. We emphasize that as is often the case in anesthesiology, some of the solutions may work well in a specific clinical context dependent on surgeon, institutional resources and culture, but may not transpose universally to all contexts.

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Acknowledgment

Conflict of Interest: None.

Author information

Authors and Affiliations

  1. Department of Anesthesia, Cincinnati Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH, USA

    Edward Cooper M.D. & Rajeev Subramanyam M.D., M.S.

  2. Department of Anesthesia, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Tobias Everett M.B.Ch.B., F.R.C.A.

  3. Department of Anaesthesia and Pain Medicine, Royal Children’s Hospital, Parkville, VIC, Australia

    James Koziol F.A.N.Z.C.A.

  4. Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Rajeev Subramanyam M.D., M.S.

Authors
  1. Edward Cooper M.D.
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  2. Tobias Everett M.B.Ch.B., F.R.C.A.
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  3. James Koziol F.A.N.Z.C.A.
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  4. Rajeev Subramanyam M.D., M.S.
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Correspondence to Rajeev Subramanyam M.D., M.S. .

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Editors and Affiliations

  1. Hospital University Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Basavana G. Goudra

  2. Department of Anesthesiology, Emory University, Atlanta, Georgia, USA

    Michael Duggan

  3. Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    Vidya Chidambaran

  4. University Hospitals Birmingham, Birmingham, United Kingdom

    Hari Prasad Krovvidi Venkata

  5. Emory University Hospital, Atlanta, Georgia, USA

    Elizabeth Duggan

  6. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Mark Powell

  7. All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India

    Preet Mohinder Singh

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Cooper, E., Everett, T., Koziol, J., Subramanyam, R. (2018). Anesthesia for Ears, Nose, and Throat Surgery. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_36

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  • DOI: https://doi.org/10.1007/978-3-319-74766-8_36

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