RT Book, Section
A1 Sisk, Joseph
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176457866
T1 Anesthesia for Otolaryngologic Procedures
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176457866
RD 2024/04/24
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.