Pre-Operative Clinic
Information Given to Family at Pre-Admission Testing Appointment
- Discuss plan and associated risks including:
- Endotracheal tube (ETT),
- Total intravenous anesthesia (TIVA),
- IVs, invasive monitoring, possible need for central access,
- Pain management, IT morphine injection,
- Risk of vision loss,
- Potential need for blood transfusion,
- Post-op facial swelling andpressure points.
- Time of arrival for surgery and where to check in.
- NPO instructions.
- Instruct patient to drink 10-12 oz of clear carbohydrate drink 2 hours prior to arrival.
- Bathing protocol- Per Physician Preference.
- Verify Procrit (epoetin alfa) regimen if ordered by the surgical service.
Pre-operative Labs
- Type & Screen, CBC, chem-8, coagulation studies (INR, PT, PTT).
- Pregnancy Test.
- COVID-19 Test.
Order Appropriate Medications
- Premeds for anxiety as indicated.
- Gabapentin for day of surgery:
- 600 mg for patients weighing > 50 kg, or
- 10 mg/kg for patients < 50 kg.
- Anti-emetic: if high-risk, consider Emend and placing a Scopolamine patch (1mg) behind the ear in preop area. It should remain on the patient for 72 hours.
Surgical Day
Holding Area
- Obtain weight and height and record in the EMR
- Draw ordered lab work. Send for diagnostic testing if indicated
- Arrange for EKG if ordered
- Sign and witness surgical and anesthesia consent
- Apply and activate Bair Hugger warming gown
Intra-Operative Management
Equipment Checklist
- Appropriate airway device
- Invasive monitoring
- Spinal kit with preservative-free morphine
- Hemodilution bags x2
- Albumin 5% 250 ml x2
- Bair Huggers x2
- Hotline connected to a blood transfusion set
Anesthesia Pathways
- Pathway 1: Intrathecal Morphine (max 5-10mcg/kg - 0.5 mg) + Remifentanil (0.05-0.4mcg/kg/min) (If spinal placement is challenging, have surgeon place spinal or IV methadone)
- Pathway 2: IV Methadone 0.2mg/kg + Remifentanil (0.05-0.4mcg/kg/min)
All Cases Get:
- Lidocaine: 2 mg/kg iv bolus, infusion at 1 mg/kg/hr
- Phenylephrine drip on standby
- Propofol infusion: BIS goal of 50-60
Anti-Fibrinolytic
- Amicar-Load: 100 mg/kg over 30 minutes (max 5 g). Maintenance infusion at 30 mg/kg/hour, continue until skin closure
- TXA-Load: 50 mg/kg over 30 minutes (max 5 g). Maintenance infusion at 5 mg/kg/hour, continue until skin closure
Antibiotics
- Cefazolin 25mg/kg (max 2 g) – Re-dose q4h
- If allergies: Clindamycin 10mg/kg (max 900mg). Re-dose q6h or Vancomycin 10mg/kg (max 1g) Re-dose q6h
Other Medications
- Neuromonitoring: MEP/SSEPs/EMGs typically monitored. Place bilateral soft bite blocks!
- Dexamethasone: 4mg
- Ondansetron: 4mg
- Diazepam IV 0.05 mg/kg or Methocarbamol (Robaxin): 15mg/kg IV after emergence to treat muscle spasms
- Minimal to no paralysis on intubation. No nitrous. Max 0.5 MAC inhalation agent – Sevoflurane for rapid emergence
Post-Op Orders Before Leaving OR
- Demand only PCA
- If no IT morphine given: Methadone 0.1mg/kg IV/PO x 2 q6h, timed 6 hours after initial dosing
- Contact the acute pain team add the patient to pain list