Check and Document Cervical ROM - Patient will lie prone with head turned to the side. Check the patient's neck range of motion as a part of the preop assessment. If limited ROM, the patient could experience severe injury. Avoid Opioids - These may cause the sphincter of Oddi to contract. Morphine is the biggest culprit. Place Bite Block - ETT is placed and then the patient is rolled onto the OR bed. Have the bite block placed before rolling. Patient's head will face the surgeon. Check with the surgeon which side is preferred for ETT taping. Blankets and/or wedges will elevate the same side as the surgeon and the direction the patient is facing Glucagon - you may be asked by the surgeon to give this. 0.5 mg is a very common dose. This is designed to relax the sphincter of oddi.
