fate.
Post-op: Repeat the
APAP IV 6 hours after
the procedure.
Provide the patient
with oral APAP for 2
days. If necessary,
administer an ultra-
sound-guided fascia
iliaca block with 0.5% ropivacaine plus decadron for breakthrough
pain. Or you can schedule a ketorolac IV every 8 hours twice daily.
Dr. O'Con explains:
Pre-op: Administer a
fascia iliaca nerve
block using ropiva-
caine + epi along with
a subarachnoid nerve
block using the tetra-
caine. The nerve
blocks are adequate to
keep the patient pain
free for 12-hours after surgery.
Intra-op: The CRNA may administer minimal amounts of ketamine
and propofol if necessary and if surgery is done with blocks as the
sole-anesthetic.
Post-op: Handled by surgeon.
OSM
9 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M a r c h 2 0 1 7
Robert Bland, CRNA
Pre-op:
• 1000 mg APAP IV
• 200 mg celecoxib
• 300-400 mg gabapentin
Intra-op:
• Exparel - encapsulated bupi-
vacaine (surgeon)
• Ketamine + decadron (optional)
• 2 mg of magnesium sulfate
(optional)
• 0.5% ropivacaine +
10mg decadron (optional)
Post-op:
• 1000mg APAP IV
• Oral APAP
• 15 mg ketorolac IV (optional)
• 0.5% ropivacaine +
10 mg decadron (optional)
Hips
Katrina O'Con, DNAP, CRNA
Pre-op:
• 40cc of 0.5% ropivacaine +
epinephrine
• 1-1.3mL of 1% tetracaine
Intra-op:
• Ketamine (optional)
• Propofol (optional)
Hips
