Anesthesia procedure in tonsillectomy?

[EMS5]

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Sorry to be butting into an area where I have relatively little experience.

I was just wondering (residents/attendings please) what the protocol is for a "standard" tonsillectomy? I.e., conscious sedation, ET intubation, some other device? Also, standard sedatives/anesthetics for this type of case if someone would be so generous 🙂

I was thinking about it, and it made me curious if they could still perform the procedure with an ET tube in place. I'm having them removed in a little over a week and just wanted to have a heads up as what to expect.

Thanks in advance.

 

[IlDestriero]

GA with ETT. It can be done with an LMA, however I don't know anyone that does it that way.

Sorry to be butting into an area where I have relatively little experience.

I was just wondering (residents/attendings please) what the protocol is for a "standard" tonsillectomy? I.e., conscious sedation, ET intubation, some other device? Also, standard sedatives/anesthetics for this type of case if someone would be so generous 🙂

I was thinking about it, and it made me curious if they could still perform the procedure with an ET tube in place. I'm having them removed in a little over a week and just wanted to have a heads up as what to expect.

Thanks in advance.

 

[EMS5]

There isn't any interference anatomically speaking with removing the tonsils/adenoids?

 

[Jay K]

There isn't any interference anatomically speaking with removing the tonsils/adenoids?

No.

Re: ID's mention of LMAs - During training I performed some peds T&A's with an LMA per anesthesia attending preference; For the life of me, I can't understand why now. And to my knowledge it wasn't ever the preference of the ENT surgeon.

 

[jwk]

There isn't any interference anatomically speaking with removing the tonsils/adenoids?

Nope. The tube is midline, and usually held against the tongue by the tongue blade of a mouth gag the ENT guy uses. The tonsils are lateral.