Airway management.

[mauro]

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Hi everybody!
In about two weeks we are going to take care of a patient who is coming for a tonsillectomy. The catch is that this person is an opera singer. How would you do this case and protect this patient's vocal cords?
A regional technique? LMA? Small ETT?
All suggestions are welcome!

 

[Planktonmd]

Hi everybody!
In about two weeks we are going to take care of a patient who is coming for a tonsillectomy. The catch is that this person is an opera singer. How would you do this case and protect this patient's vocal cords?
A regional technique? LMA? Small ETT?
All suggestions are welcome!

If your surgeon agrees, an LMA is a great option but many surgeons don't like to work around LMA's.
Otherwise I would just intubate him like everyone else and tell him upfront that there is a very small chance his vocal cords might be injured or his voice might be different for a while.

 

[militarymd]

awake trach

 

[urge]

Bilateral retro auricular glossopharyngeal catheters, plus
Bilateral single shot sphenopalatine blocks-3ml 0.5% ropi each

run catheres at 4ml/hr ropi 0.2% each side.














































Disclaimer: Sarcasm intended. Please do not attempt.

 

[Laryngospasm]

Hi everybody!
In about two weeks we are going to take care of a patient who is coming for a tonsillectomy. The catch is that this person is an opera singer. How would you do this case and protect this patient's vocal cords?
A regional technique? LMA? Small ETT?
All suggestions are welcome!

Local/MAC

 

[coprolalia]

6.0 ETT

-copro

 

[zippy2u]

LTA, 6.0 lubricated ETT, Decadron 8mgs IV, deep extubation and keep all residents away from the mofo. Regards, ---Zippy

 

[jetproppilot]

LTA, 6.0 lubricated ETT, Decadron 8mgs IV, deep extubation and keep all residents away from the mofo. Regards, ---Zippy

😆😆

YOU DA MAN, ZIPSTERS.

 

[Bougie]

Make sure you hit him/her up for some tickets if you're into that kind of stuff.

Took care of a moderately famous rock star's family member (band rhymes with free eleven) a while ago. Jokingly told her that I would take a few tickets if I did a good job.

Did a good job.

Six front row tickets, backstage passes, and free drink all-night cards to the next private show in my mailbox.

I love this job.

 

[Noyac]

Make sure you hit him/her up for some tickets if you're into that kind of stuff.

Took care of a moderately famous rock star's family member (band rhymes with free eleven) a while ago. Jokingly told her that I would take a few tickets if I did a good job.

Did a good job.

Six front row tickets, backstage passes, and free drink all-night cards to the next private show in my mailbox.

I love this job.

Is this legal?



Not that I give a ****.

 

[Bougie]

I have no idea. Isn't this the same as patients bringing in cookies to the surgeon's office for their postop visit? 😀