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Dr. Tushar ChokshiPrivate Practicing Anesthesiologist
M.D. ( Anesthesiology )
Medical College, VADODARA
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Most figures in anesthesia simplified as TOTAL
DIFFERENCEMULTIPLEDIVISION
Of
1.5( Based on Anesthetic Management of 1500 Tonsillectomy in last 15 years )
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Methods and Materials
Given around 1500 anesthesia for surgery of Tonsils & Adenoids in 3 private ENT Hospitals of
Vadodara City from 1995 to 2009 (15 years) without any major
complications, with all necessary protocols and standard operating
procedures.
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Summary of Results
Age Group : 3 to 45 Years
ASA Group : ASA I or II (Mean 1.5)
PA Check-Up : 15 minute before giving anesthesia
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Pre-Induction
Inj. Ondansetron 0.75 ml (P) / 1.5 ml (A)
Inj. Diclofenac Sodium 1.5 mg/kg
Most Common Antibiotics 15 mg/kg
All Intravenous ( No Sedation )
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Induction
Inj. Ketamine 1.5 mg / Kg +
Inj. Propofol 1.5 mg / Kg (Mix)or
Inj. Thiopental Sodium 4.5 mg / kg
Slowly IV For 1.5 Minutes
Followed by Succinyl Choline 1.5 mg / Kg IV
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Intubation
Oral or Nasal with cuff Portex ET Tube
(ET Size – Ht. in Feet + 1.5)
Laryn-Pack 1.5 Feet(P)/3 Feet(A) long
Cuff Pressure 3 / 6 / 9 ml
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MaintenanceOn Anaesthesia Machine
1.5 L / 3 L O2 + 1.5 L / 3 L N2O
RR 15 / Minute & Tidal Volume 7.5 ml/kg
with maintenance of relaxation giving
Succinyl Cholene 30 mg(P) / 60 mg(A) every 3 Minutes
Isoflurane at 1.5 mark or 3 mark
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Post-Operative Analgesia
Local Inj. Lidocaine 1.5 mg / kg in each tonsiller fosse
orLocal Inj. Bupivacaine 1.5 ml in
each tonsiller fosse
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The Magic of 1.5 helps to give safe and efficient
anesthesia with minimal strain on memory and time
in Management of Tonsillectomy with respect to standard protocols of
Textbooks.