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Anaesthesia
Pre-Anaesthesia Clinic
Rajesh Kumar · MRN-88421 · Ca. Rectum · Robotic LAR · Anaesthetist: Dr. Kunal Shah
Sign PAC Clearance
Assessment
ASA Class
Mallampati
BMI
Airway assessment
Cardiac evaluation
Respiratory evaluation
Medication review
Fasting
Difficult airway
Anaesthesia plan
Technique
Airway
Induction
Propofol 2 mg/kg Fentanyl 2 µg/kg Rocuronium 0.6 mg/kg
Maintenance
Sevoflurane 1 MAC in O2/Air Epidural bupivacaine 0.125% infusion Dexmedetomidine 0.4 µg/kg/hr
Monitoring
Standard ASA Invasive BP (Rt radial) CVP (Rt IJV) BIS · TOF · Temp
Postop analgesia
Epidural PCA Paracetamol 1g q6h Rescue: Fentanyl 25 µg IV
Risk & counselling
Patient counselled regarding anaesthesia risks including sore throat, nausea/vomiting, awareness (rare), MI/CVA (rare), death (very rare). ICU admission likely for 24h. Epidural risks discussed. Consent obtained.