Table 2B: Cases without perioperative complications including patients at risk that either inadvertently or intentionally received triggering agents, example cases 3-5.
Case number | Anesthetic agents or modalities | Preemptive agents, ERAS and Perioperative Analgesics | Other drugs/surgical products received |
1 |
Endotracheal tube and IV agents: midazolam, fentanyl, lidocaine, propofol bolus, succinylcholine, rocuronium, dexamethasone. Neurophysiologic monitoring with TIVA: propofol and remifentanvl infusions. Invasive monitoring: Radial arterial line. |
Preemptive IV agents: diphenhydramine, Pepcid, hydrocortisione. Pharmacy compounding PO analgesics: codeine. Acetaminophen IV. Fentanyl IV. |
Antibiotic: cefazolin IV. Instrumentation included cages and allograft: cage filled with local bone graft from osteophyte shavings and demineralized bone matrix. Hemostasis: Tisseel and Arista (specific surgical powder); Tranexamic acid IV. Suture: vicryl, steri-strips. |
2 |
Laryngeal Mask, sevoflurane, and IV agents: midazolam, fentanyl, lidocaine, propofol. Paracervical block with lidocaine 1% with epinephrine. |
Toradol IV. |
Odansetron IV. |
3 |
Isobaric spinal bupivicane after local anesthetic skin wheal with lidocaine 1%. IV agents: midazolam, fentanyl, propofol infusion for sedation. |
ERAS PO agents: Celecocib, pregabalin, and acetaminophen. Intraoperative local Exparel injected into knee compartments (by surgeon protocol). Oxycodone PO. Hydromorphone IV. |
Antibiotic: cefazolin IV. Cement: Methyl methacrylate. Tranexamic acid IV. Odansetron IV. Suture: monocryl, vicryl, nylon. |
4 |
Endotracheal tube, sevoflurane, and IV agents: midazolam, fentanyl; lidocaine and propofol boluses with infusions; rocuronium, sugammadex. Local anesthetic infiltration of marcaine. 25% with epinephrine at portal sites by surgeon. |
ERAS PO agents: celecocib, gabapentin. Preemptive IV agents: hydrocortisone, diphenhydramine. Desmopressin PO. Acetaminophen IV. Toradol IV. Fentanyl IV. Hydromorphone PO. Hydromorphone IV. |
Antibotics: clindamycin, gentamicin. Indigo carmine IV. Odansetron IV. Suture: vicryl. Repeat desmopressin PO. Repeat hydrocortisone IV. Hydroxyzine PO. Cetirizine PO. Amitriptyline. Buspirone. |
5 |
Endotracheal tube, sevoflurane and IV agents: Midazolam, fentanyl, lidocaine, propofol, succinylcholine, rocuronium, sugammadex. Local anesthetic infiltration of marcaine.25 % with epinephrine at incision or portal sites by surgeon. |
Acetaminophen IV. Hydromorphone IV. |
Antibiotics: piperacillin/tazobactam Suture: vicryl, monocryl, exofin. Enoxaparin, subcutaneous prior to surgery; repeated throughout hospitalization. |
ERAS: Enhanced Recovery After Surgery; IV: Intravenous; TIVA: Total Intravenous Anesthesia; PO: Oral.