Surgical Termination of Pregnancy

• Ensure valid G&S
• Check for pregnancy-associated nausea & vomiting
• Consider pre-medication for vomiting

Elective ASA 1-2 patient:

• Alfentanil ( 1000mcg )
• Propofol ( 200mg )
• Airway
  LMA - iGel

If high risk of vomiting, for Modified RSI:

• Alfentanil ( 1000mcg )
• Propofol ( 200mg )
• Suxamethonium ( 100mg ) + Rocuronium ( 10mg )
• Airway
  ETT

Maintenance

• Sevoflurane ( MAC 1.2 )
• or
• Propofol ( 20mg, Bolus PRN )

Anti-Emetics

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

As per Surgical Team

• Antibiotics as required
• Tranexamic Acid ( 1g )
• Oxytocin ( 10 IU )

Other

• Ensure adequate reversal of muscle relaxants
• sugammadex ( 200mg )

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