Tag Archives: Daycase

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 Peri-op Post-op Alternatives

Knee arthroscopy

Pre-op Often young, fit and well Day case Paracetamol and ibuprofen Peri-op 20G cannula LMA Fentanyl – 150mcg, then 100mcg just before knife to skin Propofol TCI Dexamethasone 6.6mg Ondansetron 4mg Consider adductor canal block if doing more than just arthroscopy, e.g ACL reconstruction Post-op Fentanyl in recovery Oramorph TTO paracetamol, NSAID, codeine

Insertion of peritoneal dialysis catheter

These are quick quick laparoscopic procedures in patients with renal failure. Usually day-case procedures Pre-op Aetiology of renal failure Check recent electrolytes Paracetamol Peri-op 18G cannula sited with 1% lidocaine Propofol/remifentanil TIVA Atracurium ETT Dexamethasone 6.6mg Fentanyl 100mcg Local anaesthetic to port sites Consider VBG at the end to check K+ Reversal if required Post-opContinue reading “Insertion of peritoneal dialysis catheter”

Arthroscopic knee repair – e.g. ACL repair

Often young, fit and well. Shorter repairs can be done with an LMA. Day case. Pre-op Often young, fit and well Consent for block Paracetamol and ibuprofen Peri-op 20G cannula Fentanyl ~200mcg Propofol Muscle relaxant ETT TIVA or volatile maintenance Adductor canal block- up to 20ml 0.25% L-bupivicaine Dilute anaesthetic infiltrated by surgeons at theContinue reading “Arthroscopic knee repair – e.g. ACL repair”