Clinical Procedure
 
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Consider avoiding N2O as it expands middle ear cavity, raising middle ear pressures.

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If facial nerve testing will be performed by the surgeon remifentanil may be useful as an infusion to prevent coughing when muscle relaxant is allowed to wear off.

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Surgeon may need to stimulate facial nerve branches. If this is the case, ensure that by this stage, any muscle relaxation has been adequately reversed.

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High risk of PONV.

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