Laparoscopic Appendicectomy

• Pneumoperitoneum -> bradycardia
• CO2 insufflation -> hypercapnia

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

Maintenance

• Sevoflurane ( MAC 1.2 )

Analgesia

• Fentanyl ( 50mcg bolus, Titrate to effect ) or Morphine ( 0.1mg/kg )
• Paracetamol ( 1g )
• Magnesium ( 2.5g )

Anti-emetics

• Ondansetron ( 4mg )
• Dexamethasone ( 6.6mg )

Other

• Antibiotics as required
• Local anaesthetic infiltration by surgical team

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

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