Pneumoperitoneum -> bradycardia CO2 insufflation -> hypercapnia Ensure valid G&S in lab x2 Ensure large bore IV access
Maintenance Sevoflurane ( MAC 1.2 ) Analgesia Fentanyl ( 300mcg ) Paracetamol ( 1g ) Anti-emetics Ondansetron ( 4mg ) Dexamethasone ( 6.6mg ) Other Antibiotics as required Local anaesthetic infiltration by surgical team
Analgesia Fentanyl ( Recovery Use Only ) Paracetamol ( 1g ) Ibuprofen ( 400mg ) Dihydrocodeine ( 30mg, PRN ) Anti-emetic Ondansetron ( 4mg ) Cyclizine ( 50mg )