Parotidectomy - Revision history

Chris.Rishel at 07:54, 5 April 2022

2022-04-05T07:54:49Z

← Older revision		Revision as of 00:54, 5 April 2022
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	{{Infobox surgical procedure		{{Infobox surgical procedure
	\| anesthesia_type =		\| anesthesia_type = General
	\| airway =		\| airway = ETT
	\| lines_access =		\| lines_access = PIV
	\| monitors =		\| monitors = Standard
			5-lead ECG
			Facial nerve monitoring
	\| considerations_preoperative =		\| considerations_preoperative =
	\| considerations_intraoperative =		\| considerations_intraoperative =
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	}}		}}

	~~Provide~~ a ~~brief summary of this~~ surgical procedure ~~and its indications here~~.		A '''parotidectomy''' is a surgical procedure to remove some or all of the parotid gland.

	== Overview ==		== Overview ==
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	== References: ==		== References: ==
	[[Category:Surgical procedures]]		[[Category:Surgical procedures]]
			[[Category:Otolaryngology]]

Barrett.Larson at 02:12, 5 April 2022

2022-04-05T02:12:11Z

← Older revision		Revision as of 19:12, 4 April 2022
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	=== Indications ===		=== Indications ===
	Tumor of parotid gland
			* Tumor of parotid gland

	=== Surgical procedure ===		=== Surgical procedure ===
	~~Superficial: removal of parotid gland lateral to facial nerve.~~

	Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection.		* Superficial: removal of parotid gland lateral to facial nerve.

			* Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection.

	Radical: removal of parotid gland with facial nerve		* Radical: removal of parotid gland with facial nerve

	== Preoperative management ==		== Preoperative management ==

Barrett.Larson at 02:11, 5 April 2022

2022-04-05T02:11:40Z

← Older revision		Revision as of 19:11, 4 April 2022
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	== Overview ==		== Overview ==

	=== Indications: Tumor of parotid gland ~~===~~		=== Indications ===
			Tumor of parotid gland

	=== Surgical procedure: Superficial: removal of parotid gland lateral to facial nerve. Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection. Radical: removal of parotid gland with facial nerve ~~===~~		=== Surgical procedure ===
			Superficial: removal of parotid gland lateral to facial nerve.

			Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection.

			Radical: removal of parotid gland with facial nerve

	== Preoperative management ==		== Preoperative management ==
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	\|}		\|}

	=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->: As indicated by H&P ===		=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->===

			* As indicated by H&P

			=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. -->===

	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. -->: Facial nerve stimulator ~~===~~		* Facial nerve stimulator

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. -->~~: Routine~~ ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. -->===

	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. -->: N/A ~~===~~		* Routine

			=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. -->===

			* N/A

	== Intraoperative management ==		== Intraoperative management ==

	=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. -->~~: Standard monitoring, 18G PIV x 1~~ ===		=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===

	~~=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. -->:~~ Standard ~~induction avoiding long acting paralytic (succinylcholine or remifentanil), ETT taped to opposite side. ===~~		* Standard monitoring
			* 18G PIV x 1

	=== ~~Positioning~~<!-- Describe ~~any unique positioning~~ considerations~~, including potential intraoperative position changes. If none,~~ this ~~section may be removed~~. -->~~: Supine, head turned to opposite side, bed may be turned 90 or 180 degrees~~ ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. -->===

	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. -->: Volatile anesthetic or TIVA, avoid long acting paralytic ~~to allow for facial nerve, monitoring, consider~~ remifentanil to ~~maintain a still patient, facial nerve monitoring by surgeon ===~~		* Standard induction avoiding long acting paralytic (succinylcholine or remifentanil)
			* ETT taped to opposite side.

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->: ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. -->===

			* Supine
			* Head turned to opposite side
			* Bed may be turned 90 or 180 degrees

			=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. -->===

			* Volatile anesthetic or TIVA
			* Avoid long acting paralytic to allow for facial nerve, monitoring, consider remifentanil to maintain a still patient, facial nerve monitoring by surgeon

			=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->===

	== Postoperative management ==		== Postoperative management ==

	=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. -->~~PACU~~ ===		=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. -->===
			PACU

	=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===		=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===

	=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. -->Bleeding~~, infection, dysesthesia~~ of greater auricular nerve~~, facial~~ nerve weakness, Frey's syndrome ~~===~~		=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. -->===

			* Bleeding
			* Infection
			* Dysesthesia of greater auricular nerve
			* Facial nerve weakness
			* Frey's syndrome

	== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==		== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==

Ed Nguyen at 01:37, 5 April 2022

2022-04-05T01:37:35Z

← Older revision		Revision as of 18:37, 4 April 2022
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	Provide a brief summary of this surgical procedure and its indications here.		Provide a brief summary of this surgical procedure and its indications here.

			== Overview ==

			=== Indications: Tumor of parotid gland ===

			=== Surgical procedure: Superficial: removal of parotid gland lateral to facial nerve. Total: removal of parotid gland lateral and medial to facial nerve, often combined with neck dissection. Radical: removal of parotid gland with facial nerve ===

	== Preoperative management ==		== Preoperative management ==
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	!System		!System
	!Considerations		!Considerations
			\|-
			\|Airway
			\|
	\|-		\|-
	\|Neurologic		\|Neurologic
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	\|}		\|}

	=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===		=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->: As indicated by H&P ===

	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. -->: Facial nerve stimulator ===

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. -->: Routine ===

	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. -->: N/A ===

	== Intraoperative management ==		== Intraoperative management ==

	=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===		=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. -->: Standard monitoring, 18G PIV x 1 ===

	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. -->: Standard induction avoiding long acting paralytic (succinylcholine or remifentanil), ETT taped to opposite side. ===

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. -->: Supine, head turned to opposite side, bed may be turned 90 or 180 degrees ===

	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. -->: Volatile anesthetic or TIVA, avoid long acting paralytic to allow for facial nerve, monitoring, consider remifentanil to maintain a still patient, facial nerve monitoring by surgeon ===

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->: ===

	== Postoperative management ==		== Postoperative management ==

	=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===		=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. -->PACU ===

	=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===		=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===

	=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===		=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. -->Bleeding, infection, dysesthesia of greater auricular nerve, facial nerve weakness, Frey's syndrome ===

	== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==		== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
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	\|-		\|-
	\|Surgical time		\|Surgical time
	\|		\|1.5-2
	\|		\|
	\|-		\|-
	\|EBL		\|EBL
	\|		\|25-200
	\|		\|
	\|-		\|-
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	\|}		\|}

	== References ==		== References: ==

	[[Category:Surgical procedures]]		[[Category:Surgical procedures]]

Chris.Rishel: Text replacement - "|Respiratory" to "|Pulmonary"

2022-02-22T05:45:31Z

Text replacement - "|Respiratory" to "|Pulmonary"

← Older revision		Revision as of 22:45, 21 February 2022
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	\|		\|
	\|-		\|-
	\|~~Respiratory~~		\|Pulmonary
	\|		\|
	\|-		\|-

Oliviamsutton: Created page with "{{Infobox surgical procedure | anesthesia_type = | airway = | lines_access = | monitors = | considerations_preoperative = | considerations_intraoperative = | considerati..."

2022-01-24T20:38:49Z

Created page with "{{Infobox surgical procedure | anesthesia_type = | airway = | lines_access = | monitors = | considerations_preoperative = | considerations_intraoperative = | considerati..."

New page

{{Infobox surgical procedure
| anesthesia_type =
| airway =
| lines_access =
| monitors =
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

Provide a brief summary of this surgical procedure and its indications here.

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Respiratory
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations ===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]