https://pedsanesthesia.net/wiki/index.php?action=history&feed=atom&title=TYK174TYK174 - Revision history2026-04-21T18:45:07ZRevision history for this page on the wikiMediaWiki 1.44.1https://pedsanesthesia.net/wiki/index.php?title=TYK174&diff=457&oldid=prevWikiSysop: 1 revision imported2021-03-05T02:34:34Z<p>1 revision imported</p>
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</td></tr></table>WikiSysophttps://pedsanesthesia.net/wiki/index.php?title=TYK174&diff=456&oldid=prevmetawikimedia>DrBobGreenberg at 18:24, 9 March 20162016-03-09T18:24:13Z<p></p>
<p><b>New page</b></p><div>__NOTOC__<br />
Acceptable anesthetic techniques for adenotonsillectomy in an otherwise<br />
healthy 5 year old 25 kg boy with mild obstructive sleep apnea include:<br />
<br />
a) intravenous induction-muscle relaxation-intubation-sevoflurane maintenanceneuromuscular<br />
block reversal-awake extubation<br />
<br />
b) inhalation induction-peripheral intravenous line-laryngeal mask (LMA)-<br />
sevoflurane maintenance-LMA removal deep<br />
<br />
c) intravenous induction-LMA placement-propofol and remifentanil<br />
maintenance-LMA removal in Post Anesthesia Care Unit awake<br />
<br />
d) inhalation -peripheral intravenous line-intubation-isoflurane maintenancedeep<br />
extubation<br />
<br />
e) all of the above<br />
<br />
f) none of the above<br />
<br />
<br />
<div class="mw-customtoggle-TYK_Answer" style="text-align: right; color:#0000ff">Click for Answer</div><br />
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-TYK_Answer"><br />
==Answer==<br />
Answer e. <br />
<br />
There is no known single best anesthetic technique for<br />
adenotonsillectomy - most modern volatile anesthetics as well as propofol-based<br />
total intravenous anesthetic techniques are widely used. In the standard risk<br />
population the airway can be managed with an endotracheal tube or with a<br />
laryngeal mask if no contraindications exist and the surgeon is amenable to the<br />
technique. Deep extubation is controversial but is not contraindicated in the<br />
otherwise healthy patient.<br />
<br />
<br />
==Notes==<br />
<references /><br />
<br />
:This question originally printed in the [http://www.amazon.com/Justin-L.-Lockman/e/B00FLG5AEE/ref=ntt_dp_epwbk_0 Pediatric Anesthesiology Review Topics] kindle book series, and appears courtesy of Naerthwyn Press, LLC.<br />
==Keywords==<br />
:<br />
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