Anaesthetists Handbook - MEDICAL EDUCATION at University ...

ENT anaesthesia• Ondansetron 0.1 mg kg -1 (intravenous).• Rectal paracetamol 40 mg kg -1 or intravenous paracetamol 15-20 mg kg -1 to a maximum of 1 g. (if not given as premedication).• Rectal diclofenac 1 mg kg -1 (if NSAIDs are not administered aspremedication).• Intramuscular codeine phosphate 1 mg kg -1 administered intraoperatively.• Intravenous infusion of crystalloids 10 ml kg -1 intraoperatively.Postoperative• Return to ward with free fluids and food on demand.• Regular oral paracetamol 15 mg kg qds.• Regular oral Ibuprofen 5 mg kg -1 tds (codeine phosphate1 mg kg -1 if NSAIDs are contraindicated).• Oral morphine 0.2-0.3 mg kg -1 every three hours as needed.• Intravenous ondansetron 0.1 mg kg -1 every eight hours asneeded.Discharge medicationsParents are requested to have their own supply of paracetamol andibuprofen.• Regular oral paracetamol 15 mg kg -1 qds for five days.• Regular oral ibuprofen 5 mg kg -1 tds for five days.Adult tonsillectomyPreoperative• Consider premedication with paracetamol 1 g + NSAIDs(ibuprofen 600mg or diclofenac 100mg).194 Anaesthetists Handbook January 2010