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ANAESTHESIA FLOW CHART Anaesthesia

PAK FD HOSPITAL LVL-III UN MSN DARFUR SUDAN Procedure
No Rank Name
Age Unit Ward Surgeon(s)

Diagnosis/Procedure
PREOP
VITALS Pulse B.P. SPO2 RR Temp
PAA MED ILLNESS IHD / Hypertension / Asthma / COPD / DM /______________________ NPO / Full Stomach
Hb_________gm/dl Urea_________ Creatinine___________Na________ K_______BSR__________ ASA 1 2 3 4 5 Emergency
MONITORS Precordial Steth: NIBP ECG Pulse oximeter Capnograph/ Agent O2 & Gas Analyzer CVP
POSITION
PREMEDICATION REGIONAL ANAESTHESIA
Maxalon ml Spinal Preload BUPICAINE ISO / HPERB (____%) _________M
Decadron ml Epidural LIGNOCAINE (__________%)_____________ml
Zantac ml Saddle Position Sitting Lat
Atropine ml Other Asepsis (Povidine soln) Catheter
Space Needle Level Achieved
Test dose - Ligoncaine with adrenaline 3ml
GA TECHNIQUE Airway Management:
GA Induction: NALBIN mg PROPOFOL mg Suxamethonium mg
Intravenous TARAMADOL mg PENTOTHOL mg Atracurium mg
Inhalation MORPHINE mg KETAMINE mg
Pre-02 PETHIDINE mg SEVOFLURANE/ %
Mask # AIRWAY ORAL / NASAL
Rapid Sequence DORMICUM mg ISOFLURANE %
LMA #
Cricoid pressure ETT: Cuffed / noncuffed ( Oral / Nasal )
Blind Stylet Awake
Tube size: Secured at
GA Maintenance: Other Nasal Prongs Simple 02 mask
Inhalation Inhalation / IV GA / Regional combination TIVA Via tracheotomy / stoma Mask case
FLUIDS BLOOD PRO-DUCTS (Bag #)
N/ Saline____________________________________________________________ RCC/ Whole Blood
R/ Lactate___________________________________________________________
5% Dextrose/ W______________________________________________________ FFP
Haemacel/ HAES_____________________________________________________
Platelets_________________________________________
TIME: 15M 30M 45M 1H 1.15 1.30 1.45 2H 2.15 2.30 2.45 3H

Oxygen (L/min)
AGENTS

N2O (L/Min)
Inhalational (Iso / Sevo)
Relaxant (Atracurium/ )

Blood Loss (Swabs/ Drain/ Visual)

Urine (ml)
Gastric (ml)
TOURNIQUET
ET CO2
200
PERI-OP MEDS/ INF
180

160
150

140
130

120
110

100
90

80
70

60
50

40
OTHER PROCEDURES
NG tube CVP
20
Foley catheter

RECOVERY PHASE POST Pulse B.P. SPO2 Eye Opening

Inj Neostigmine + Atropine/Pyrolate OP Tongue protusion
Extubation VITALS Head lift > 5s
1. After the PACU Criteria is met shift to ITC / ward. Total Crstalloids Blood Loss
2. Monitors Vitals X 15 min for 02 hrs Total Colloids Urine Output
3. Oxygen inhation @__________LPM with face mask / nasal prongs. Blood NG

TOTAL INPUT TOTAL OUTPUT