These might be performed by neurosurgeons, or by orthopaedics. The patient will be lying prone, with their arms out in front. Pre-op Often have chronic pain, note current analgesic regime Note any neurology Explain post-op PCA Peri-op Propofol/ remifentanil TCI Rocuronium Flexible ETT Prophylactic antibiotics Prone, arms out front Magnesium Morphine up to 20mg Consider:Continue reading “Lumbar spine decompression”
Tag Archives: Magnesium
Lap appendix
Staple fodder of CEPOD. This recipe is for a straightforward lap appendix. Pre-op Paracetamol NSAID Peri-op Any cannula for induction, upgraded to 16G asleep Modified RSI if indicated Fentanyl ~200mcg at induction, total ~300mcg by end Propofol ~150mg Rocuronium 1mg/kg ETT Sevoflurane maintenance 2-3g Magnesium into the IV fluids Dexamethasone 6.6mg Ondansetron 4mg towards endContinue reading “Lap appendix”
