Anaesthetic Procedures

Question 1

AFOI

Answer 1

DM:
COPE - consent/optimise/premed/explain

Procedure/expectation/benefit/risk/alt/nothing
PE BRAN

Prepare
M: SCEN - spo2/capno/ECG/nibp
A: nurse + other doc
D: PTI R
E: usual aw + DI + flex bronch + fastrach ETT

Premed
1. Glyco 4mg/kg

2. Midazolam
   a) 0.0125-0.025mg/kg
3. Remi TCI
   a) 2 mcg/ml
   b) 4-6mcg/ml

Topicalise
Nose
- cophenyl 10x (50mg)
Everything
- neb 2% ligno 10mL (200mg)
Larynx
- direct 2% ligno 5mL (100mg)

Intubate
Position
- head up
Insertion
- soften fastrach onot bronch
- topicalise under direct
- wait 30s
- bronch mid trachea
- cockscrew ETT
- keep carina in view

Complications
1. CICO
2. LAST
3. Epistaxis
4. Failure

KN