Superficial parotidectomy under local anesthesia, case report
For superficial parotidectomy general anesthesia is ideal, but certain patients may be unfit. The present case had uncontrolled hypertension together with difficult airway. To avoid any suspected complications, we decided to do the operation under local anesthesia. We planned to block the maxillary...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2017-07-01
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| Series: | Egyptian Journal of Anaesthesia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110184916301362 |
| Summary: | For superficial parotidectomy general anesthesia is ideal, but certain patients may be unfit. The present case had uncontrolled hypertension together with difficult airway. To avoid any suspected complications, we decided to do the operation under local anesthesia. We planned to block the maxillary nerve and superficial cervical plexus with greater auricular nerve together with incision site infiltration. A mixture of bupivacaine 0.25% and lignocaine 1% with adrenaline 1: 200,000 was prepared. The block was effective after about 15–20 min and the surgery was performed uneventfully using only the nerve blocks with mild sedation. |
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| ISSN: | 1110-1849 |