Paediatric anaesthesia

 

Pre-op

·      Assessment

·      Rapport

·      Discuss plan (pre-med / induction)

·      Discuss expectations (stage of excitation)

·      Pre-medicate

·      Topicalise

·      Prepare theatre (ABC equipment / drugs / monitoring)

Intra-op

·      Anaes: GA with inhalational induction

·      Airway: ETT without relaxant (L’scope size, ETT site, ETT depth)

·      Access: peripheral IV and giving set with burette

·      Probes: standard but sat probe only at induction

·      Pain: caudal block?

·      People: nurse for me, parent for child, tech for parent

Post-op

·      Propofol + clonidine

·      Deep extubation

·      Safety before leaving in PACU

 

 

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