TY - CHAP M1 - Book, Section TI - Anesthesia for Otolaryngologic Procedures A1 - Sisk, Joseph A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSBilateral myringotomy tube placement is frequently a short case. Rapid turnover is usually expected.Children presenting for bilateral myringotomy tube (BMT) placement may have an active or recent URTI. The risks and benefits of proceeding should be evaluated and discussed with the caregivers and surgeon.Bilateral myringotomy tube placement is frequently done under inhalational anesthesia with mask ventilation. Peripheral IV access is not mandatory for otherwise healthy patients.Nitrous oxide may be used to distend the tympanic membrane.Children with trisomy 21 may have narrow ear canals, which increases the operative time. IV and laryngeal mask airway (LMA) placement may be appropriate.Pain control may be achieved with nasal and IM medications supplemented by acetaminophen and/or ibuprofen. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176457866 ER -