Exploration of Scrotum

General AnaesthesiaDuration1 hourUpdatedJun 2026ByGas Cookbook

Case: 10-16 year old
Suspected testicular torsion
Abdominal pain +/- vomiting

Modified RSI
Propofol150-200mg
Fentanyl1mcg/kg
Rocuronium1.2mg/kg
AirwayETT

Maintenance

SevofluraneMAC 1.2

Analgesia

Paracetamol15mg/kg
Fentanyl1mcg/kg

Local Anaesthetic

bupivacaine0.5% and/or lidocaine1-2%

Anti-emetics

Ondansetron0.15mg/kg

ProcedureNMB Assessment
Sugammadex2 or 4 mg/kg

Paracetamol15mg/kg
Ibuprofen10mg/kg
Ondansetron0.15mg/kg

For reference only. Always check doses against the BNF and your local protocols, and adapt to the patient in front of you. Gas Cookbook is community-shared guidance, not medical advice; clinical responsibility stays with you.

Technique

RSI Volatile

Introduction

Induction

Intra-op

Emergence

Post-op