PRopofol
has antiemetic properties, used in induction and maintenance of anasthesia
Etomidate
used in cases of hemodynamic instability
KEtamine
can be used in trauma, does not cause a drop in BP
thiopental
highly lipid soluble
Drugs delaying wound healing
steroids
NSAIDs
Immunosuppressives
Chemotherapy
Metformin surgery rules
take as sual day before surgery
on day of surgery
if takes OD/ BD take as usual
If morning surgergy and takes TDS omit lunch dose
If Afternoon surgery and takes TDS omit lunch time dose
sulfpnylurea
take same as before before surgery
On day of surgery
omit all doses unless the surgery is in morning and patient takes BD, omit morning dose
Long acting insulin
reduce by 20% day before and on surgery day
When to stop DOACs before surgery?
48hours
When to stop warfarin and when bridging needed?
stop Warfarin 5 days before surgery
Need bridging with LMWHif high thomboembolic risk such as MEhcanical heart valves , stroke or thromboemolism in last 3 months.
