Anaesthetists Handbook - MEDICAL EDUCATION at University ...

ENT anaesthesiaIntraoperative• Induction: use propofol and fentanyl.• Dexamethasone 4-8 mg (intravenous).• Ondansetron 4 mg or cyclizine 50 mg (intravenous).• Paracetamol 1g intravenous (if not administered in the preferredroute, oral premedication).• NSAIDs: intravenous or rectal (if not administered in thepreferred route, oral premedication).• Morphine 0.1 mg kg -1 intravenous.• Intravenous infusion of crystalloids ~10 ml kg -1 intraoperatively.Postoperative• Return to ward with free fluids and food on demand.• Regular oral paracetamol (soluble tablets) 1 g qds.• Regular oral codeine phosphate 30 mg qds.• Regular oral Ibuprofen 400mg tds.• Oral morphine 10-20 mg, three-hourly as needed.• Cyclizine 50 mg or ondansetron 4mg, eight-hourly as needed.Discharge medications• Oral paracetamol 1 g qds for five days.• Oral ibuprofen 400 mg tds for five days.• Oral codeine phosphate 30-60 mg qds for five days.Anaesthetists Handbook January 2010 195