General Anesthesia Protocol
Use to facilitate imaging, allow management of fractures, perform surgical procedures, and perform invasive diagnostic procedures.
Preoxygenate for 5 minutes using oxygen mask.
Premedicate using the Deep Sedation Protocol, and place an IV catheter.
Induce using PROPOFOL 1 mg/kg IV boluses to effect.
Intubate with an appropriate endotracheal tube.
Most MWDs require a 9-11 mm ID endotracheal tube. Use a cuffed tube.
Maintain anesthesia using:
ISOFLURANE 0.5-1.5% titrated to effect in 100% oxygen or
SEVOFLURANE 2.0-2.5% titrated to effect in 100% oxygen or
PROPOFOL CRI 100-300 mcg/kg/min.
Manage pain with HYDROMORPHONE 0.1 mg/kg IV boluses, not to exceed 0.2 mg/kg per hour.
Monitor appropriately, give IV fluids, and keep the MWD warm (See
Ancillary Support
in this CPG, and Table 21).