Specialties Contribute

Gathering your anaesthesia essentials...

Twitter

Disclaimer

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.

We cannot be held liable for any adverse outcomes or issues arising from the use or application of these recipes.

About

FAQs
Meet our Contributors

Helpful Links

Contribute
Specialties
Sign In

© 2025. Gas Cookbook. All rights reserved.

Plastics / Burns

Hand Tendon Repair

Est. Duration: 1 hour

Summary

Last Updated: February 2025

General Anaesthesia Regional Anaesthesia Sedation

Technique:

Block:

Axillary Brachial Plexus Median Radial Ulnar

Last Updated: February 2025

Block

Block site + specfiic nerves dependent on location of tendon repair

Either

💉

Regional Block
ACF: Radial + Mid-forearm: Median + Ulnar
5ml 0.5% Bupivacaine for each nerve
Preserves elbow functionality, can help facilitate early discharge

or

💉

Regional Block
Axillary Brachial Plexus
5ml 0.5% Bupivacaine for each nerve
Block covers upper limb tourniquet site

Option A: Sedation

Propofol ( TCI, Cet 1-2 )
Airway
Capnomask - Titrate O2 as required

Option B: General Anaesthetic

Induction

Fentanyl ( 100mcg )
Propofol ( 200mg )
Airway
LMA - iGel

Maintenance

Sevoflurane ( MAC 1.2 )

Post-Op

Fentanyl ( Recovery Use Only )
Paracetamol ( 1g )
Ibuprofen ( 400mg )
Dihydrocodeine ( 30mg, PRN )
Ondansetron ( 4mg )
Cyclizine ( 50mg )

Other

Antibiotics as required