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Airway management and anaesthesia for ENT, maxillofacial, and dental surgery 

Airway management and anaesthesia for ENT, maxillofacial, and dental surgery
Airway management and anaesthesia for ENT, maxillofacial, and dental surgery

Jeremy Prout

, Tanya Jones

, and Daniel Martin

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date: 16 April 2021

This chapter covers airway assessment and management with the conduct of anaesthesia for ENT and maxillofacial procedures, both elective and emergency. Airway assessment allows some prediction of the difficult airway. Management of the anticipated difficult airway is discussed with techniques including awake fibreoptic intubation. Management of the unanticipated difficult airway and the obstructed airway is discussed following Difficult Airway Society algorithms. Emergency airway management includes cricothyroidotomy and jet ventilation. Indications for tracheostomy, descriptions of surgical and percutaneous procedures and guidelines for the emergency management of tracheostomy/laryngectomy airway emergencies are included. Anaesthesia for ENT covers the common anaesthetic considerations in the pre-assessment and perioperative period during management of patients for common ENT procedures. The special considerations for laser airway surgery and emergency surgery (such as bleeding tonsils and epiglottitis) are described. Most maxillofacial trauma is performed on a semi-elective basis and the airway management planning for lower, mid and upper-face fractures is included.

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