Objectives and strategies for anesthesia for head and neck surgery

Expert airway management

Shared airway precautions

Surgery-specific airway management requirements

Versatility with difficult airway devices and techniques

Proficiency with different ventilation techniques and strategies

Team-centered approach

Provision of a stable plane of anesthesia and a clear surgical field

Opioid-based techniques

TIVA

Moderate controlled hypotension

Hypnotic monitoring

Immobility of the surgical field

Absence of patient movement

Avoidance of iatrogenic motion interference

Smooth and rapid emergence from anesthesia

Remifentanil emergence

Bailey maneuver

SGA as the primary ventilatory device

Fast-tracking patients for discharge

Stratified opioid use

Multimodal analgesia

Adjuvant techniques

Prophylaxis of PONV

TIVA: total intravenous anesthesia; SGA: supraglottic airway device; PONV: postoperative nausea and vomiting.

Courtesy of Dr. Vladimir Nekhendzy.

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