Arthroscopic knee repair – e.g. ACL repair

Often young, fit and well. Shorter repairs can be done with an LMA. Day case.

Pre-op

  • Often young, fit and well
  • Consent for block
  • Paracetamol and ibuprofen

Peri-op

  • 20G cannula
  • Fentanyl ~200mcg
  • Propofol
  • Muscle relaxant
  • ETT
  • TIVA or volatile maintenance
  • Adductor canal block- up to 20ml 0.25% L-bupivicaine
  • Dilute anaesthetic infiltrated by surgeons at the end

Post-op

  • IV fentanyl, oramorph in recovery
  • TTO paracetamol, NSAID, codeine

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