Distant airway with the head in pins. There can be a lull whilst waiting for intra-op confirmation of abnormal brain tissue, and there will be some time spent hair washing at the end.
Pre-op
- Paracetamol
- Any symptoms the patient has been experiencing
Peri-op
- 20G cannula
- Consider ergonomics – (e.g. induce on trolley and rotate after induction, induce on table and rotate, induce on table with head away from anaesthetic machine)
- Remifentanil TCI
- Propofol
- Muscle relaxant
- ETT – standard or flexible may be appropriate
- Propofol TCI or volatile maintenance
- Dexamethasone 6.6mg after samples taken and checked
- Ondansetron 4mg
Post-op
- Regular paracetamol
- PRN oramorph
- PRN anti-emetics
Anaesthetic Recipes 