Alfentanil – Anaesthetic Recipes

Grommets

Short (15 min) ENT day case procedure with a distant airway Pre-op Peri-op Post-op Alternatives

These can be stressful situations. Ideally intubation is immediately followed by knife to skin, with the abdomen prepped before induction. There is a very high incidence of difficult intubation, and of awareness under anaesthesia in these situations. Pre-op Peri-op Post-op Alternatives

Gynae day case hysteroscopy

A short procedure, often part of a high turnover day case list Pre-op Paracetamol Ibuprofen Intra-op 20G cannula Propofol TCI Marsh model 1mg Alfentanil in each 50ml of propofol (20mcg/ml) 6.6mg dexamethasone LMA Post-op PRN paracetamol PRN ibuprofen

Incision and drainage of abscess – I&D

Staple fare of the CEPOD list, and usually a good starter for the day whilst more complex cases are worked up.

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

Day case TIVA

My default day case recipe Pre-op Intra-op Post-op

Tag Archives: Alfentanil