INTRA-OP

PRIOR TO INCISION - INDUCTION

• No opioid unless discussed with anesthesiologist

  • • if opioid used, max dose for the case: Fentanyl 100 mcg MAX

• Antibiotic prophylaxis

• Decadron 10 mg IV – PONV prophylaxis

• Ketamine 0.5mg/kg IV

• Forced air warming after draping

AFTER INCISION

• Maintain normothermia (Temp >36 °C)

• Avoid/limit introp opioids

• Ondansetron 4mg IV at emergence – PONV prophylaxis

• Blood glucose monitoring

  • • For all diabetic patients, continue PAA glycemic control order set

      • • Check FSBG Q1hr

    • For all non-diabetic patients, check FSBG within 60 min after induction

      • • Goal blood glucose between 100-180 mg/dl

        • Check FSBG Q2hr

        • If FSBG >180, initiate PAA glycemic control order set

• Minimize tubes, drains, lines

• Confirm ALL fluids both input and output are documented