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This collection of recipes is intended for educational purposes only. Users should adapt these recipes based on individual patient requirements, clinical judgment, and adherence to local and national guidelines.

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Gas Cookbook | Laparoscopic Cholecystectomy (Elective)

Laparoscopic Cholecystectomy (Elective)

Notes Induction Intra-op Emergence Post-op

General Surgery

Laparoscopic Cholecystectomy (Elective)

General AnaesthesiaDuration1-2 hoursUpdatedJun 2026

Notes Induction Intra-op Emergence Post-op

PositionSteep Head-Up
Monitor for effects of position changes + pneumoperitoneum
May require XR if cholangiography required

PropofolTCI
RemifentanilTCI
Rocuronium0.6mg/kg
AirwayETT

Maintenance

PropofolTCI
RemifentanilTCI

Analgesia

Morphine0.1mg/kg
Paracetamol1g
Diclofenac75mg
Magnesium Sulphate2.5-5g

Anti-emetics

Ondansetron4mg

ProcedureNMB Assessment
Sugammadex2 or 4 mg/kg
Awake extubation

Analgesia

FentanylRecovery Use Only
Paracetamol1g
Ibuprofen400mg
Dihydrocodeine30mg, PRN

Anti-emetic

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.

Other

Technique

IV Induction TIVA

By Gas Cookbook

Dexamethasone

6.6mg

Other

Antibiotics as required
Local anaesthetic infiltration by surgical team*

Cholangiography

Will require X-Ray
Small periods of apnoea during procedure may be required