Regional – Anaesthetic Recipes

Ankle fusion / arthrodesis

Pre-op Paracetamol Peri-op 20G cannula Prophylactic antibiotics Popliteal block – up to 20ml 0.5% L-bupivicaine fentanyl 100-200mcg Propofol TCI LMA Anti-emetics- dexamethasone 6.6mg + ondansetron 4mg Post-op Paracetamol Codeine Aspirin 150mg OD

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 Counsel about nerve block, emphasising the need to take analgesia before the block wears off Peri-op 20GContinue reading “Shoulder surgery”