Enhanced Recovery Cystectomy / Colorectal recipe

 

Recipe:

Pre-op paracetamol, gabapentin.

Single shot spinal. 1-1.5ml 0.5% heavy bupivicaine + diamorphine or morphine.

GA

A-line, big drips. May need pressor infusion.

TAP blocks.  (Could consider regional or wound infusion catheter)

IV Lignocaine (+/- ketamine) infusion. Can be continued post-op.

Post-op: PO analagesia + s/c morphine rescue. Avoids epidural & PCA to allow Enhanced Recovery

 

 

RDH

 

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