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Continuing Education in Anaesthesia, Critical Care & Pain 2005 5(3):76-79; doi:10.1093/bjaceaccp/mki021
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 5 Number 3 2005 © The Board of Management and Trustees of the British Journal of Anaesthesia [2005]. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Anaesthesia for cleft lip and palate surgery

Nicola Somerville, MBBS DCH FRCA, Anaesthetic Research Fellow
Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex, RH19 3DZ

Stephen Fenlon, MBBS FRCA, Consultant Anaesthetist
Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex, RH19 3DZ
Tel: 01342 414256, Fax: 01342 414102, E-mail: stephen.fenlon@qvh.nhs.uk (for correspondence)

The first 150 words of the full text of this article appear below.


Key points

A high index of suspicion for conditions associated with cleft lip and palate should be maintained.

A difficult view at laryngoscopy is a more frequent finding than a difficult airway; the anaesthetist should be prepared for either.

Patients should be extubated when fully awake with close observation for signs of airway obstruction.

Analgesia is an important part of the balanced anaesthetic technique.

Children with clefts should be managed by a multidisciplinary team of experts.

 


   Cleft lip and palate
 
The presence of a cleft lip, cleft palate or both, has a huge impact on the life of an individual and their family. Modern management has much to offer these people, revolutionizing appearance and functional defects to a point where they may be difficult to detect. Surgery aims to correct the anatomically obvious cleft lip, augment normal dento-alveolar development and lead to effective palatal function.

Worldwide, cleft lip and palate (CLP) is one of . . . [Full Text of this Article]


   Anaesthetic significance
 

   Preoperative care
 
General

Specific


   Intraoperative and postoperative care
 
The difficult airway

Maintenance of anaesthesia

Antagonism, extubation and recovery


   Future developments
 

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