MSRA: Pre-Op + Anaesthetics

Question 1

What is the pre-op management of Metformin?

Answer 1

Continue as normal

Question 2

What is the pre-op management of Glicliazide?

Answer 2

Omit on the day of surgery
If morning surgery, only omit the morning dose
If afternoon surgery, omit both dose if BD regime

Question 3

What is the pre-op management of SGLT2?

Answer 3

Omit

Question 4

What is the pre-op management of once daily Insulin?

Answer 4

Reduce by 20% (including the day before)

Question 5

What is the pre-op management of twice daily Insulin?

Answer 5

Half the morning dose

Question 6

Which anaesthetic agent has anti-emetic properties?

Answer 6

Propofol

Question 7

Which anaesthetic agents are associated with malignant hyperthermia?

Answer 7

Volatile inhalation agents e.g. Sevoflurane

Question 8

What are the symptoms of local anaesthetic toxicity?

Answer 8

Confusion, tinnitus, perioral numbness

Question 9

What is the management of local anaesthetic toxicity?

Answer 9

20% lipid emulsion IV