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Paediatric Anaesthesia

Tutorial 560
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Anaesthesia for paediatric middle ear procedures

Ahmad Soni1,4†, Naadir Khan2,4, Zainub Jooma3,4

1Anaesthetic Medical Officer, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa

2Anaesthetic Registrar, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa

3Consultant Anaesthetist, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa

4University of the Witwatersrand, Faculty of Health Sciences, School of Clinical Medicine, Department of Anaesthesia

Edited by: William Francis Powell, Jr., MD MPH, Instructor in Anaesthesia, Mass Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA

†Corresponding author email: ahmadsoni@gmail.com

DOI: 10.28923/atotw.560

Published November 18, 2025

Abstract

This tutorial outlines key anaesthetic principles for paediatric middle ear surgery, including preoperative assessment, airway management, patient preparation and positioning, TIVA use, facial nerve monitoring, surgical field optimisation, analgesia, PONV prevention, and considerations for specific ear procedures.

creative commons

This work by WFSA is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/