Cleft lip and palate management Anaesthesia as a Short case in MD Anaesthesia practicals with possible ViVa questions ppt
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cleft lip palate anatomy classification repair surgery
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Cleft Lip Palate Anaesthesia MD
Presentation · PPTX
What's inside (14 slides, dark navy/teal/amber theme)
| Slide | Content |
|---|---|
| 1 | Title slide – MD Anaesthesia · Short Case identity |
| 2 | Overview & Classification – incidence, Veau classification, timing of repair (rule of 10s) |
| 3 | Preoperative Assessment – airway evaluation, syndromes, fasting, premedication |
| 4 | Airway Management (3 columns) – cleft lip, cleft palate, difficult airway plan |
| 5 | Induction & Maintenance – step-by-step table (monitors → temperature) |
| 6 | Analgesia – infraorbital nerve block vs suprazygomatic maxillary block, systemic drugs |
| 7 | Intraoperative Concerns – shared airway, hypothermia, blood loss, throat pack, PONV |
| 8 | Emergence & Post-op Care – awake extubation rule, recovery monitoring, complications |
| 9 | Associated Syndromes – Pierre Robin, Treacher Collins, DiGeorge, CHARGE, Stickler, Down |
| 10–12 | Viva Q&A (15 questions) – high-yield exam questions with model answers |
| 13 | Exam Memory Aid – 6-box rapid-recall grid (AIRWAY / INDUCTION / MAINTENANCE / ANALGESIA / EXTUBATION / POST-OP) |
| 14 | References & Thank You |
Key anaesthesia points covered (from Miller's Anesthesia 10e + Barash)
- Rule of 10s for lip repair timing
- Preformed oral RAE tube – midline fixation; Dingman gag caution for palate
- Infraorbital nerve block (lip) and suprazygomatic maxillary nerve block (palate) – evidence-based analgesia
- AWAKE extubation after palate repair – mandatory
- Throat pack documentation – common exam and safety point
- Apnoea monitoring for ex-preterm infants < 56 weeks PMA
- Codeine contraindication in children
- Pierre Robin / Treacher Collins difficult airway strategies
- DiGeorge syndrome – irradiated blood, calcium, cardiac
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