【正文】
Reinforced LMAs for paediatric tonsillectomy Lesley Aitken April 2022 Daycase tonsillectomy in Epsom ? 98% Daycase discharge rate ? Benefits – cost – effective – Less pressure on inpatient beds – Less psychological trauma for parents and children Anaesthesia 2022, 61, 116 122 Epsom children’s ENT daycase anaesthesia protocol ? Clear fluids up to 2hrs preop ? EMLA or ametop ? Propofol induction ? IV ondansetron ? Oxygen/air/sevoflurane ? rLMA in children aged 3 or older ? Spontaneous ventilation ? IV dexamethasone ? PR diclofenac ? PR paracetamol ? IM codeine ? IV crystalloids 10ml/kg Continued (Postop) ? Free fluids and food on demand ? Nursing observations for 6hrs