Cleft Lip

Cleft Lip

  • Usually performed at 10-12 weeks
  • No premedication
  • Inhalational induction with nitrous oxide and sevoflurane
  • Peripheral IV after induction
  • +/- muscle relaxant or propofol to facilitate intubation of the trachea
  • Most anesthesiologists add either fentanyl or morphine to inhaled agents
  • Oral RAE tube, secure with tegaderm-do not tape to vermillion of lower lip
  • Table turned 90 degrees.
  • Awake extubation-narcotics may "protect" against emergence delirium
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This information is meant to serve as an educational resource. Clinicians should use their own professional judgment in the care of any individual patient as the guidance contained in this document may not be appropriate for all patients or all situations.