Grommets

Short (15 min) ENT day case procedure with a distant airway

Pre-op

  • Paracetamol
  • NSAID

Peri-op

  • 20G cannula
  • Propofol TCI
  • Alfentanil, 1.5mg bolus at induction, 0.5mg increments thereafter
  • LMA, head ring
  • Dexamethasone 6.6mg

Post-op

  • None- not painful

Alternatives

  • Propofol with 20mcg/ml Alfentanil
  • Propofol + remifentanil TIVA

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