📝 Pre-Anesthesia Assessment:
- Review medications and past medical history (PMH)
- Perform an airway exam and assess lung function
- Monitor vital signs and review relevant lab tests
💉 Typical IV Medication Setup
(Note: Every case varies, and individual practice differs.)
🛑 Pre-Operative (Pre-op) Medications:
- Midazolam (Versed) → Given for anxiolysis to reduce patient anxiety before induction.
⚡ Intra-Operative (Intra-op) Medications:
- Lidocaine (IV) → Administered before propofol to reduce the burning sensation on injection.
- Propofol (IV) → Used for induction of anesthesia.
- Once the patient is asleep, administer:
- Fentanyl → For analgesia (pain control)
- Rocuronium → For muscle relaxation (neuromuscular blockade)
- Dexamethasone → For postoperative nausea and vomiting (PONV) prophylaxis
- During surgery:
- Continuously monitor vital signs including blood pressure and adjust medications as needed.
🌅 Post-Operative (Post-op) Medications:
- Ondansetron (Zofran) → Given for PONV prophylaxis to prevent nausea/vomiting.
- Neostigmine → Used for reversal of neuromuscular blockade (counteracts rocuronium).
- Glycopyrrolate → Administered with neostigmine to prevent bradycardia and muscarinic side effects.
- Post-op analgesia:
- Choice of analgesic varies, but hydromorphone is commonly used for pain control.
📚 References
1️⃣ Miller RD. Miller’s Anesthesia. 9th ed. Philadelphia, PA: Elsevier; 2020.
2️⃣ Morgan GE, Mikhail MS, Murray MJ. Morgan & Mikhail’s Clinical Anesthesiology. 6th ed. New York, NY: McGraw Hill; 2018.
3️⃣ Steiner J. Anesthesia Made Easy: The Survival Guide to Make Your First Anesthesia Rotation a Success. 2nd ed. Independently Published; 2019.