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Anesthetic and Reconstructive Considerations in Major Head and Neck Trauma

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Anesthetic Management for the Pediatric Airway

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Abstract

This chapter focuses on anesthetic considerations specific to pediatric maxillofacial and laryngotracheal trauma. A thorough understanding of affected anatomy and the goals and challenges of surgical repair are reviewed and serve as framework for discussion. Additionally, unique airway challenges encountered during operative procedures for head and neck trauma in children are highlighted. Anticipating potential difficulties that may arise during induction, maintenance, and emergence from anesthesia is critical to the safe management of pediatric maxillofacial trauma patients. The authors contribute complimentary perspectives from their respective fields of pediatric anesthesiology and pediatric otolaryngology to outline a collaborative approach to the delivery of perioperative care for these complicated patients.

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Author information

Authors and Affiliations

  1. Division of Pediatric and Cardiac Anesthesiology, Floating Hospital for Children at Tufts Medical Center, Boston, MA, USA

    Sean W. Gallagher

  2. Division of Pediatric Otolaryngology and Facial Plastic Surgery, Floating Hospital for Children at Tufts Medical Center, Boston, MA, USA

    Andrew R. Scott

Authors
  1. Sean W. Gallagher
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  2. Andrew R. Scott
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Corresponding author

Correspondence to Andrew R. Scott .

Editor information

Editors and Affiliations

  1. School of Medicine, George Washington University School of Medicine, Washington, DC, USA

    Diego Preciado

  2. Department of Anesthesiology, Children’s National Health System, Washington, DC, USA

    Susan Verghese

Electronic Supplementary Material

A video demonstrating the extent of hard palate mobility following Le Fort 1 osteotomy. This case involves a planned osteotomy for maxillary advancement rather than acute trauma. Note that the airway has been secured with nasal intubation (MOV 56598 kb)

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Gallagher, S.W., Scott, A.R. (2019). Anesthetic and Reconstructive Considerations in Major Head and Neck Trauma. In: Preciado, D., Verghese, S. (eds) Anesthetic Management for the Pediatric Airway . Springer, Cham. https://doi.org/10.1007/978-3-030-04600-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-04600-2_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04599-9

  • Online ISBN: 978-3-030-04600-2

  • eBook Packages: MedicineMedicine (R0)

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