Anesthesia for head and neck surgery

Anesthesia in patients for surgery of the head and neck should begin with evaluation of the animal's medical history, laboratory data, and physical examination. This information plus knowledge of the physiologic changes induced by abnormalities and surgery of the head and neck provide the basis for selection of anesthetic regimens and techniques. The regimen should include drugs that produce minimal impact on organ systems, especially those systems lacking physiologic reserve because of disease. Establishment of a patent airway, protection of the airway, and control of ventilation should receive primary attention. Monitoring and support of cardiopulmonary function and maintenance of fluid volume and renal function are essential. The patient should be observed until protective reflexes return and recovery is complete. Postoperative pain should be managed with analgesics.