Staple fare of the CEPOD list, and usually a good starter for the day whilst more complex cases are worked up.
Author Archives: Anaesthetic Recipes
TKR – Total Knee Replacement
The focus here is on early mobilisation and discharge, using enhanced recovery protocols. Patients tend to have been well briefed to expect a spinal +/- sedation
THR – Total Hip Replacement
The focus here is on early mobilisation and discharge, using enhanced recovery protocols. Patients tend to have been well briefed to expect a spinal +/- sedation
Cardioversion (DCCV)
The procedure itself is very short, but intensely stimulating. Perfect for short acting drugs. Awareness and recall are common, reflecting deep sedation more than true general anaesthesia. Pre-op Usually a day case Check they have been correctly anticoagulated- minimum of preceding 3 weeks May have significant cardiovascular, respiratory disease. Also obesity, diabetes, OSA Check pre-opContinue reading “Cardioversion (DCCV)”
ECT
The procedure itself is very short, so it can be a busy list. Don’t let this compromise your assessment of some fairly complex patients. Pre-op Intra-op Post-op Twists
C-section under spinal
In obstetrics more than anywhere else, the anaesthetist is an entertainer. Aside from the clinical parts, consider other elements: do they have a playlist they would like to play? Pre-op Intra-op Documentation Always document (if true!): Post-op Variations
C-section under epidural top-up
There is debate here about top-up solutions- do you use the fast acting mix that takes time to prepare, or the slower one that can be drawn up more quickly? Research suggests the lidocaine based mix is faster at achieving surgical anaesthesia, even accounting for the extra time taken to prepare it. Pre-op Antacid prophylaxisContinue reading “C-section under epidural top-up”
Renal Transplant
There’s an apocryphal tale about an inadequately relaxed patient “coughing” out their perilously perched transplant kidney at a key moment. As a result, the surgeons ask every few minutes whether we are “happy with the relaxation”. Pre-op Peri-op Post-op Twists
Pituitary surgery
Pre-op Paracetamol Intra-op Sat up shared airway Armored tube Wide bore IV access Steroids Post-op Rapid smooth emergence
Day case TIVA
My default day case recipe Pre-op Intra-op Post-op
Anaesthetic Recipes 