Steps

Drugs

Pre-Induction & Induction

1

Preoxygenation 100% O2

2

Rocuronium 5 mg/0.5 mL Glycopyrrolate 0.2 mg/1 mL

3

Fentanyl 100 µg/2 mL

4

Propofol 150 mg/15 mL

5

Succinylcholine 100 mg/5 mL (Rocuronium 30 mg/3 mL for long cases)

6

Propofol 50 mg/5 mL (rescue) succinylcholine 100 mg/5 mL (rescue)

Anesthesia Induction

1

Sevoflurane 4% at 10 L/min O2

2

Sevoflurane 4% at 2 L/min O2

3

Nitrous Oxide at 2 L/min O2

Maintenance & Emergence

1

Sevoflurane 4% at 0.6 L/min O2 upon incision

2

Nitrous Oxide at 0.6 L/min O2 upon incision

3

Emergence begins at last suture with stopping anesthetic and administering 10 L/min O2