Frenulectomy

[mdan]

Don't usually see these in the OR. What do you guys usually do for airway? IV or no IV? Thanks

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[Libertas]

Mask case, maybe an iv...if they think they’ll do some stitches I’m more likely to place an iv

 

[propadope]

If you mean frenectomy then flexible LMA. I personally like IVs

 

[btbam]

Mask, take mask off, ENT goes buzz buzz. Case done.

 

[Mman]

mask, no IV, shouldn't take more than 30 seconds

 

[dchz]

That depends, tongue or penis?

 

[DirtDocMD]

Mask, clip/clip with scissors. MAYBE a buzz with the bovie. Because of this, WATCH YOUR 02 LEVELS!!!! Fire Risk!!!!

Otherwise, not much to it...

 

[mdan]

Thanks for the replies - this is for tongue.

 

[Mman]

WATCH YOUR 02 LEVELS!!!! Fire Risk!!!!

that's why you take the mask off and have it nowhere near child so there is no fuel source for a fire to get started

 

[DirtDocMD]

If you’ve got a mouth full of 100% O2, there may still be....

 

[Mman]

If you’ve got a mouth full of 100% O2, there may still be....

oxygen and a bovie together can't alone cause a fire. You need something else to ignite and burn such as a plastic ETT or mask or nasal cannula.

 

[Impromptu]

Mask. No IV.

Post op pain control is not usually too bad, so I might not do much for this. But if you want, you can do a tylenol suppository, or even a small amount of nasal fentanyl.

Due to the recent thread on an airway fire that severely burned a child, I would make extra precautions if there was going to be electrocautery involved, such as what others have suggested about moving the flammable material (mask) farther away when I lift it off. Now I might even have a blue towel doused in water in a little basin next to me.