TYK174

Acceptable anesthetic techniques for adenotonsillectomy in an otherwise healthy 5 year old 25 kg boy with mild obstructive sleep apnea include:

a) intravenous induction-muscle relaxation-intubation-sevoflurane maintenanceneuromuscular block reversal-awake extubation

b) inhalation induction-peripheral intravenous line-laryngeal mask (LMA)- sevoflurane maintenance-LMA removal deep

c) intravenous induction-LMA placement-propofol and remifentanil maintenance-LMA removal in Post Anesthesia Care Unit awake

d) inhalation -peripheral intravenous line-intubation-isoflurane maintenancedeep extubation

e) all of the above

f) none of the above

Click for Answer

Answer

Answer e.

There is no known single best anesthetic technique for adenotonsillectomy - most modern volatile anesthetics as well as propofol-based total intravenous anesthetic techniques are widely used. In the standard risk population the airway can be managed with an endotracheal tube or with a laryngeal mask if no contraindications exist and the surgeon is amenable to the technique. Deep extubation is controversial but is not contraindicated in the otherwise healthy patient.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

Keywords

---

---

<Prev Question --- Next Question>

About Test Your Knowledge