Remifentanil – Page 2 – Anaesthetic Recipes

Robotic Nephrectomy

These cases are well worth discussing with the surgeon beforehand- anticipated potential for blood loss varies greatly

This is the Cat 1 section of neuroradiology: every minute hundreds of thousands of neurons die. There needs to be meticulous maintenance of blood pressure. You will be in an unfamiliar environment- one of the IR theatres. GA is favoured here as there is a higher chance of clot retrieval and therefore better functional outcome.Continue reading “Stroke Thrombectomy”

Carotid endarterectomy (CEA) under GA

Below is an anaesthetic recipe for carotid endarterectomy under general anaesthetic. They can also be performed under regional. Pre-op All of these patients have cardiovascular disease Note BP Note pre-existing neurological deficits Anti-platelets always continue Peri-op 18G cannula Arterial line – awake Metaraminol infusion titrated to maintain MAP within 20% of normal Short acting opiateContinue reading “Carotid endarterectomy (CEA) under GA”

Day case “hot” lap chole

For the fit and well patient Pre-op Paracetamol Intra-op Propofol – Marsh TCI Remifentanil – Minto TCI Remi on first building up to 6ng/ml, wait two minutes, then propofol 6mcg/ml Atracurium 16G cannula COETT Depth of anaesthesia monitoring 350mcg fentanyl throughout case Post-op Fentanyl 0-200mcg in recovery Regular paracetamol Regular ibuprofen Tramadol or codeine AlternativesContinue reading “Day case “hot” lap chole”