Insertion of peritoneal dialysis catheter

These are quick quick laparoscopic procedures in patients with renal failure. Usually day-case procedures

Pre-op

  • Aetiology of renal failure
  • Check recent electrolytes
  • Paracetamol

Peri-op

  • 18G cannula sited with 1% lidocaine
  • Propofol/remifentanil TIVA
  • Atracurium
  • ETT
  • Dexamethasone 6.6mg
  • Fentanyl 100mcg
  • Local anaesthetic to port sites
  • Consider VBG at the end to check K+
  • Reversal if required

Post-op

  • Fentanyl 0-100mcg in recovery
  • Paracetamol

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