Reducing Baseline Risk 

 

  • Avoid general anesthesia by using regional anesthesia 

  • Avoid volatile anesthetics

  • Avoid nitrous oxide in surgeries >1 hr

  • Use propofol to induce & maintain anesthesia 

  • Minimize intra- and post-op opioids (regional techniques, multimodal analgesia, α2-agonists)

  • Adequate hydration 

  • Sugammadex instead of neostigmine for reversal of neuromuscular block

 

 

Adapted from Anesth Analg. August 2020 - Volume 131 - Issue 2 - p 411-448