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Gas Cookbook | Surgical Termination of Pregnancy

Surgical Termination of Pregnancy

Pre-op Induction Intra-op Post-op

Surgical Termination of Pregnancy

General AnaesthesiaDuration15 - 30 minsUpdatedJun 2026ByGas Cookbook

Pre-op Induction Intra-op Post-op

Ensure valid G&S
Check for pregnancy-associated nausea & vomiting
Consider pre-medication for vomiting

Elective ASA 1-2 patient:

Alfentanil1000mcg
Propofol200mg
AirwayLMAiGel

If high risk of vomiting, for Modified RSI:

Alfentanil1000mcg
Propofol200mg
Suxamethonium100mg + Rocuronium10mg
AirwayETT

Maintenance

SevofluraneMAC 1.2
or
Propofol20mg, Bolus PRN

Anti-Emetics

Ondansetron4mg
Dexamethasone6.6mg

As per Surgical Team

Antibiotics as required
Tranexamic Acid1g
Oxytocin10 IU

Other

Ensure adequate reversal of muscle relaxants

Analgesia

Fentanyl10-20mcg bolus in Recovery
Paracetamol1g
Ibuprofen400mg
Dihydrocodeine30mg, PRN

Anti-emetics

Ondansetron4mg
Cyclizine50mg

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

IV Induction TIVA Volatile

sugammadex200mg