Lobectomy recipe

+/- pre-med temazepam 10-20mg

Peripheral access 14/16G

Midazolam 0.5-2mg

Start remi at 0.1mcg/kg/min

Art line

Sit up for thoracic epidural

Supine, full monitoring inc. BIS

Epidural test-dose

Pre-O2

co-induction with propofol + sevo. 1mg/kg roc.

Miniman bagging. DLT using asleep fibre optic intubation technique.

+/- CVP

Top-up epidural 10ml of 0.25% l-bupivicaine.

Intra-op: O2/air/desflurane. Remi at 0.1mcg/kg/min.

JB, GGH

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