Clinical Procedure
 
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Surgeon may need to stimulate facial nerve branches. If this is the case, any muscle relaxant used at the beginning of the case should be allowed to wear off.

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Local anesthetic spray to the trachea/cords may help reduce coughing on the tube as the muscle relaxant begins to wear off.

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Remote airway. Secure endotracheal tube well to minimise risk of inadvertant extubation.

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Remifentanil infusion may help reduce coughing on the tube if muscle relaxation is allowed to wear off for facial nerve-integrity-testing.

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