Clinical Procedure
 
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If delivering 100% oxygen at time of insertion of tracheostomy (to mitigate the hypoxic risk in the event of loss of airway), consider the risk of airway fire

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Clarify graft donor sites with surgeons and keep those sites clear. Do not place arterial or intravenous lines in those sites.

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Connect fluid bag to central venous line to enable easy access when patient draped, even if it won't be used intraoperatively.

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Subclavian central venous catheter (CVC) on opposite side of dissection

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Arterial line (pre-induction if using remifentanil)

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Antibiotics as per surgeons. Check medication chart for recently administered.

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Nasal endotracheal tube/ETT will be easier to access to pull back at insertion of tracheostomy if proceeding with neck dissection first

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Prolonged surgery. Temp probe, warm air blanket and fluid warmer.

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Avoid coughing and straining on emergence to reduce perioperative bleeding

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