aa ‘pol deen fhe eran dew mo. Deusen SSetceeainlonnentd Se ate ets ee aos eee Soto Souci eee icomanemiy acorns sik Som th te hs on saad Seaniahey eee See Sa RECONSTRUCTION & ORTHOGNATHIC SURGERY ene eee oe git cee devel malas ada wact Siempelandechteicagee Preoperative Considerations [: Peverearepeemiomeeerre Scere ee tia ‘Segui a nate te ‘ata ero ce ‘oy os th cn ‘Sheree wattage best ‘ete gegen pret se im ua BA (awe nay ced det Sad wet ape na jem toon ysl a ‘pi he Plena woman gs gy magia Eevee tater ca nme at kepoubuey te censure tee cape Ss eaters Soa ‘eet nace Spe =a =e ae nearness Berranenoe celeron a» # ta bs) Ge Sie Soap roe sept epee neg cs tsa are pees ‘densely dec el ‘Sieey spears beg Sachs pe apy ee a teres tee Zeke zoo See Scere Saat aa Saareenwerin eee eS784 SECTION Anesthetic Management postextubation respiratory obstruction. In addition, the operating team should be prepared for emer- gent tracheotomy or cricothyrotomy. Otherwise, extubation can be attempted once the patient is fully awake and there are no signs of continued bleeding. Patients with intermaxillary fixation (eg, maxillomandibular wiring) must have suction and appropriate wire cutting tools continuously at the bedside in case of vomiting or other airway emergencies. Extubating a patient whose jaws are wired shut and whose oropharyngeal pack has not been removed can lead to life threatening airway obstruction.