Exploration of Scrotum

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

• Modified RSI
• Propofol ( 150-200mg )
• Fentanyl ( 1mcg/kg )
• Rocuronium ( 1.2mg/kg )
• Airway
  ETT

Maintenance

• Sevoflurane ( MAC 1.2 )

Analgesia

• Paracetamol ( 15mg/kg )
• Fentanyl ( 1mcg/kg )

Local Anaesthetic

• bupivacaine ( 0.5% ) and/or lidocaine ( 1-2% )

Anti-emetics

• Ondansetron ( 0.15mg/kg )

• Procedure NMB Assessment
• Sugammadex ( 2 or 4 mg/kg )

• Paracetamol ( 15mg/kg )
• Ibuprofen ( 10mg/kg )
• Ondansetron ( 0.15mg/kg )