In this episode, Dr. Sam Bobek and Dr. Michael Wasson are joined by Dr. Vince Maxim Lucero, a pediatric and oral and maxillofacial anesthesiologist with over 40 years of experience, trained at Yale, the University of Washington, and the Hospital for Sick Children in Toronto. They cover how anesthesia for jaw surgery has evolved over the decades, including blood pressure management, hypotensive anesthesia techniques, the A-line debate, post-op nausea prevention, nasal intubation tips, surgeon-anesthesiologist communication, and what it actually takes to run outpatient orthognathic surgery safely.

Topics discussed:

— How anesthesia drugs and monitoring have changed since the 1980s

— Why outpatient jaw surgery works (and when it doesn't)

— The A-line debate: is it necessary?

— Managing blood pressure without just cranking the gas

— Post-op nausea: TXA, scopolamine patches, NG tubes, and more

— What anesthesiologists wish surgeons understood

— Building a surgeon-anesthesiologist relationship that actually works

---Disclaimer: The Down Fracture Podcast is intended for healthcare professionals and is for informational and educational purposes only. Nothing discussed in this episode constitutes medical advice, clinical guidance, or a standard of care. Clinical decisions should always be made in consultation with qualified medical professionals and with consideration of individual patient circumstances. The views expressed are those of the hosts and guests and do not represent any institution or employer.