FESS

 

Airway

·      Remote

·      Shared

·      Bloody

-> flexi LMA vs RAE ETT with throat pack

Bleeding

Surgery:

·      Vasoconstrictor -> ↑HR, ↑BP, arrhythmias
(Choice: adrenaline, cocaine, phenylephrine)

Anaesthesia:

·      Head up

·      ↓PEEP

·      ↓CO2

·      ↓HR

·      ↓BP (mAP >65 or within 20% of baseline)

Head up

·      Cerebral perfusion