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
Category Archives: ENT
Microlaryngoscopy
20 minute day case ENT surgery. These patients often smoke. Shared airway. Discuss choice of airway device at the brief- options include: a subglottic jet ventilation catheter, microlaryngeal tube, injector needle on operator laryngoscope, or rarely a cricothyroidotomy needle. Pre-op Medications: paracetamol, NSAID Careful airway assessment- beware stridor Peri-op 20G cannula Processed EEG Muscle relaxantContinue reading “Microlaryngoscopy”
