Anesthesia Management | Anesthesia Strategy to Overcome Challenges |
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Preoperative management | Assess for anatomical abnormalities and systemic disease Identify the type of procedure being performed Evaluate the need for modification of current drug regimen |
Intraoperative management | Local anesthetics: - Lidocaine/Prilocaine (EMLA) cream - Subcutaneous Lidocaine - Ethyl chloride spray Conscious sedation: - Nitrous oxide - Benzodiazepines - Ketamine - Propofol - Fentanyl General anesthesia: - same drugs as in conscious sedation but a higher dose - warrants a secure airway and anesthesia monitoring |
Postoperative Management | Consider underlying disease/medications to prevent complications Use a multi-modal approach for pain management |