Reducing Baseline Risk
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Avoid general anesthesia by using regional anesthesia
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Avoid volatile anesthetics
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Avoid nitrous oxide in surgeries >1 hr
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Use propofol to induce & maintain anesthesia
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Minimize intra- and post-op opioids (regional techniques, multimodal analgesia, α2-agonists)
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Adequate hydration
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Sugammadex instead of neostigmine for reversal of neuromuscular block