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Surgical procedures Oral Boards

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• No N₂O:
◦middle ears (expand), spinal sx with SSEP (VAE & monitoring), laser sx (combustion), tram reconstruct
• Corticosteroids:
◦Tonsillectomy, microlaryngoscopy, & sagittal spilt; √ for RA for hip arthroplasty
• Surgeries that could require deliberate hypotension
◦* note* careful with uncontrolled HTN, CAD/athersclerosis) - anesthesia -> esmolol -> nitroprusside
◦Middle ear surgeries: Tampanoplasty, Stapedectomy, Mastiodectomy: d/t small area
◦Rhinoplasty, Septoplasty, Tubrinoplasy/Turbinectomy
◦FESS/ESS & external sinus surgery (Caldwell-Luc)- ENT (<90)
◦Fe Fort Osteotomy (<100)
◦Lumbar Laminectomy
◦Spinal reconstruction and fusion (MAP <60)
◦Hip arthroplasty (SBP <100)
◦Shoulder arthroscopy
• No
NMB
(besi
des
for
intub
ation
nerve
testin
g)
◦Le Fort &
sagittal spilt
◦Middle ear
surgeries
◦Spinal
reconstruction
and fusion
(unless tech
says
• throat packing
◦Tonsillectomies
, nasal
surgeries,
sinus
surgeries,
sagittal split
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