These can be done with either a GA or a spinal- there appears to be no mortality benefit of one over the other. The key is to deliver one excellent anaesthetic and not do a combination of the two. Pre-op Peri-op Post-op *Reasons to delay
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Robot Assisted Laparoscopic Radical Prostatectomy- RALP
These patients are positioned in a steep Trendelenburg position. A non-slip gel and shoulder bolsters help prevent slipping. Pre-op Peri-op Post-op Twists
Shoulder surgery
These cases have a distant airway (feet closest to machine), and are generally sat up in a “beach chair” position. As a result, the main concerns surround loss of airway and cerebral hypoperfusion. They are often intubated. Pre-op Peri-op Post-op
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
