A small compilation of nurse anesthesia care plans

These anesthesia care plans are meant to inspire nurse anesthesia residents when they are making their care plans. Always make sure you fully understand and "own" your care plan. Your plan must be specific for your patient and should always be with the most up-to-date information.

Endoscopy

Laryngoscopy, micro laryngoscopy, esophagoscopy, and bronchoscopy.

Evaluated for hoarseness, stridor, and hemoptysis.

Consider difficult airway, discuss plans with the surgeon and his exam results from his office.

Anesthetic considerations

Goals

Muscle paralysis to provide masseter muscle relaxation, immobile surgical field, oxygenation and ventilation, and cardiovascular stability

Oxygenation and ventilation

Intubation

Small catheter via trachea for quick procedure

Intermittent-apnea technique (alternates with the surgeon, high risk of increased CO2 and aspiration -monitor O2 sat)

Manual jet ventilator to the side port of laryngoscope (monitor for chest wall movement)

Cardiovascular stability

Cardiac disease due to alcohol/smoking

Stress-provoking procedure with intermittent stimulation

Consider regional blocks of the glossy pharyngeal nerve (base of the palatoglossal arch) and superior laryngeal nerve (injection 1cm below each greater cornu of hyoid bone) to minimize labile BP