Anesthesiology

James Lamberg

Medications

Pre-Medications
Midazolam (50-350mcg/kg)
mg; O:30-60s, P:3-5m, D:15-80m
Zofran 4mg; O:<30m, P:variable, D:12-24h (if pt with risk factors for PONV)
Fentanyl (0.7-2mcg/kg)
mcg; O:30s, P:5-15m, D:30-60m
Dexamethasone (5-10mg)
mg (if pt with risk factors for PONV); O:3m, P:12-24h, D:36-54h
Induction
Lidocaine (1.5-2mg/kg)
mg to attenuate pressor response to DL; O:45-90s, P:1-2m, D:10-20m
Propofol (1.5-2.5mg/kg)
mg; O:45s, P:1m, D:5-10m
Thiopental (3-5mg/kg)
mg; O:10-20s, P:30-40s, D:5-15m
Etomidate (0.1-0.2mg/kg)
mg; O:30-60s, P:1m, D:3-10m
Ketamine (1-2.5mg/kg)
mg; O:<30s, P:1m, D:5-15m
Neuromuscular Blockers
Succinylcholine (1-1.5mg/kg)
mg; O:30-60s, P:60s, D:4-6m
Rocuronium (0.6-1.2mg/kg)
mg; O:45-60s, P:1-3m, D:15-150m
Vecuronium (0.08-0.1mg/kg)
mg; O:<3m, P:3-5m, D:25-30m
Atracurium (0.3-0.5mg/kg)
mg; O:<3m, P:3-5m, D:20-35m
Cisatracurium (0.15-0.2mg/kg)
mg; O:1.5-2m, P:3-7m, D:20-35m
Pancuronium (0.04-0.1mg/kg)
mg; O:1-3m, P:3-5m, D:40-65m
Alfentanil (25-50mcg/kg)
mcg (for relaxation of cords without NMB)
Maintenance, Inhalation Agents
Sevoflurane 2% (0.7% in N2O)
Isoflurane 1.2% (0.6% in N2O)
Desflurane 6% (2.8% in N2O)
Maintenance, Narcotics
Morphine (2.5-5mg)
mg; O:<1m, P:5-20m, D:2-7h
Fentanyl (0.7-2mcg/kg)
mcg; O:30s, P:5-15m, D:30-60m
Sufentanil (0.2-0.6mcg/kg)
mcg; O:1-3m, P:3-5m, D:20-45m
Alfentanil (5-10mcg/kg)
mcg; O:1-2m, P:1-2m, D:10-15m
Remifentanil (0.25-0.4mcg/kg/min) Infusion Only, No Bolus; O:<30m, P:3-5m, D:5-10m
Toradol 30mg (0.5mg/kg)
mg; O:<1m, P:1-3h, D:3-7h
Emergence
Neostigmine (0.05mg/kg)
mg; O:<3m, P:3-14m, D:40-60m+
Glycopyrrolate (0.2mg per ml neostigmine)
mg; O:<1m, P:5m, D:2-3h, N/A with LMA
Dilaudid 0.5mg when spontaneously breathing. Titrate to RR of 12; O:immediate, P:5-20m, D:2-4h
Morphine (2.5-15mg)
mg; O:<1m, P:20m, D:2-7h
MAC
Midazolam (50-350mcg/kg)
mg; O:30-60s, P:3-5m, D:15-80m
Zofran 4mg; O:<30m, P:variable, D:12-24h (if pt with risk factors for PONV)
Fentanyl (0.7-2mcg/kg)
mcg; O:30s, P:5-15m, D:30-60m
Remifentanil (0.5-1mcg/kg/min) Infusion Only, No Bolus; O:<30m, P:3-5m, D:5-10m
Dexamethasone (5-10mg)
mg (if pt with risk factors for PONV); O:3m, P:12-24h, D:36-54h
Propofol (25-100mcg/kg/min)
mg; O:40s, P:1m, D:5-10m
Thiopental (0.05-0.35mg/kg/min)
mg; O:10-20s, P:30-40s, D:5-15m
Etomidate (5-20mcg/kg/min)
mg; O:30-60s, P:1m, D:3-10m
Ketamine (15-80mcg/kg/min)
mg; O:<30s, P:1m, D:5-15m
PRN
Phenylephrine (50-100mcg)
mcg; O:<1m, P:<1m, D:15-20m
Ephedrine (5-10mg)
mg; O:immediate, P:2-5m, D:10-60m
Glycopyrrolate (0.2mg)
mg; O:<1m, P:5m, D:2-3h
Atropine (0.4-1mg)
mg; O:45-60s, P: 2m, D:1-2h
Esmolol (10-20mg)
mg; O:1-2m, P:5m, D:10-20m
Labetalol (2.5-20mg)
mg; O:2-5m, P:5-15m, D:2-4h
Metoprolol (5mg)
mg; O:immediate, P:20m, D:5-8h
Hydralazine (0.1-0.2mg/kg)
mg; O:5-20m, P:10-80m, D:2-4h
Propranolol (10-30mcg/kg)
mcg; O:<2m, P:1m, D:1-6h
Lidocaine (1-1.5mg/kg arrhythmia, 1.5-2mg/kg pressor response)
mg; O:45-90s, P:1-2m, D:10-20m

Version 09Nov09

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