Breast Wide Local Excision

• Remifentanil ( TCI, Cet 4-5ng/ml )
• Propofol ( 2.5mg/kg )
• Airway
  LMA - iGel

• 2 x 20ml syringes
• Each has 0.75% ropivacaine ( 10ml ) + 0.9% saline ( 10ml )
• Use approx 30ml in block

Maintenance

• Propofol ( TCI )
• Remifentanil ( TCI )

Analgesia

• Paracetamol ( 1g )
• Diclofenac ( 75mg )
• Fentanyl ( 100mg )
• Magnesium Sulphate ( 2.5g in 100ml saline )

Anti-emetics

• Ondansetron ( 4mg )
• Dexamethasone ( 3.3mg )

Other

• Antibiotics as required