Lefort + Bilateral Sagittal Split (BSSO)
- Access
- PIV x2
- Airway
- ETT Nasal RAE (Afrin, heat the ETT to mold it soft, lubricate with ultrasound lube)
- Induction
- Mask or IV
- Maintenance
- Propofol, Dexmedetomidine, paralytic. TIVA for smoother wakeup, but gas and paralysis can also be used
- Emergence
- Awake
- Antibiotics
- Ampicillin/Sulbactam
- Position
- Standard
Notes
tranexamic acid Bolus 10 mg/kg and tranexamic acid gtt (5-10 mg/kg/hr)