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Updated: Jan 19, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Anesthetic Considerations for Oral, Maxillofacial, and Neck Trauma
Jessica Lovich-Sapola1, Freedom Johnson2, Charles E Smith3
1Case Western Reserve University School of Medicine, MetroHealth Medical Center, Committee on Trauma and Emergency Preparedness, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
Abstract:
Blunt, penetrating trauma to the ear, nose, and throat, and related structures are striking. Injuries may range from simple soft tissue wounds to complex injuries of the face, neck, and brain. Proximity of the cervical spine and airway complicate anesthetic management. A multidisciplinary approach is required. Airway control has highest priority in initial care. Management of airway, breathing, and circulation need to be tailored to the patient. Decisions regarding airway management, ventilation strategies, monitoring, and fluid and blood administration should be based on the patient's condition, clinical setting, and the available personnel, expertise, and equipment.
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