Anesthetic procedures
Our procedure cards describe a suitable anesthesia model for each type of procedure. Click the selected link to open a PDF image and retrieve a condensed guide of each procedure. Several other anesthesia models are entirely feasible and may be just as effective as our recommendations. Local variations and alternative protocols may exist.
Premedication is administered according to local protocols. In our cards, P = Paracetamol, O = OxyContin, COX = Arcoxia, OXA = Oxascand, Bet = Betapred, and Ond = Ondansetron. Dynastat or clonidine may be administered at the end of the procedure, if appropriate, following discussion with the surgeon.
Gynecology and Obstetrics
- Abdominal wall endometriosis
- Abrasio uterina
- Artificial Urinary Sphincter or Advance Sling Procedure
- Brachytherapy for cervical cancer
- Caesarean Sectio – Elective
- Caesarean Sectio – Non-Urgent
- Caesarean Sectio – Urgent
- Category 1 Emergency Caesarean Section (Immediate Caesarean Sectio)
- Cervical Conization / Loop Electrosurgical Excision Procedure (LEEP)
- Diagnostic laparoscopy
- Endoluminal brachytherapy
- Endometriosis laparoscopy NHV full-day procedure
- Examination under anaesthesia (EUA)
- Exenteration – anterior and total (hysterectomy + BSO + cystectomy + rectal amputation, creation of Kock pouch and Bricker diversion)
- Gynecological Surgery via Laparotomy
- Hysterectomy ± BSO, myoma enucleation: open gynaecological procedures
- Laparoscopic procedures: total/subtotal hysterectomy ± BSO, cystectomy, myoma enucleation
- Laparoscopy
- Minor gynaecological procedures (D&C, excision, VEX, hysteroscopy, Bartholin’s gland surgery)
- Patients at high risk for PONV
- Peritonectomy (“stripping”) for ovarian cancer
- Postpartum Hemorrhage
- Radical (Wertheim) hysterectomy
- Robot-assisted hysterectomy
- Robot-assisted trachelectomy
- Robotic Surgery in Morbid Obesity (BMI > 40)
- Radical (Wertheim) Hysterectomy
- Vaginal hysterectomy
- Vulvar resection/vulvectomy
Surgery
- Adrenalectomy open or laparoscopic
- Bone marrow harvest
- Breast reduction, breast implant surgery, latissimus dorsi flap, prophylactic mastectomy with immediate reconstruction
- Carcinoid
- Caval thrombosis
- Chest wall resection including ribs
- Cholecystectomy open or laparoscopic
- Diagnostic laparoscopy
- Distal pancreatectomy
- EMR – EUS – ERCP – gastroscopy + dilation + EsoSponge
- Fundoplication – open or laparoscopic
- Gallbladder surgery
- Gastrectomy – gastric resection
- Gastric pacemaker via laparoscopy
- Gastroplasty open or laparoscopic
- Hernia repair
- Hidradenitis surgery
- Hyperthermic limb perfusion
- Kidney and auxiliary liver transplantation
- Kidney donation (living donor)
- Kidney transplantation
- Laparoscopy
- Liver perfusion
- Liver resection
- Liver transplantation
- Lymph node extirpation
- Major breast surgery
- Minor breast surgery
- Minor neck operations (parathyroid, hemithyroidectomy, total thyroidectomy)
- Nephrectomy/kidney resection
- Oesophagectomy, thoracoabdominal
- Pancreas and kidney transplantation
- Patients at high risk for PONV
- PEG insertion
- Phaeochromocytoma/paraganglioma
- POEM (Peroral Endoscopic Myotomy)
- Robot-assisted para-aortic lymph node dissection for testicular cancer
- Robotic surgery for morbid obesity (BMI > 40)
- Splenectomy
- Thoracoabdominal oesophagectomy
- Thoracoplasty
- Total pancreatectomy with Whipple, laparoscopy/robot-assisted
- Whipple procedure
Vascular surgery
- Carotid surgery
- Carotid test occlusion / Carotid stenting
- EVAR
- EVAR during sedation
- Open aortic surgery
- Peripheral vascular surgery
- Preoperative vascular surgery assessment
- PTA (percutaneous transluminal angioplasty)
Plastic Surgery
- Bicoronal synostosis with springs, ~6 months
- Cranial and facial trauma
- Cranioplasty & removal of springs/distractors
- Cranioplasty for metopic synostosis, children >6 months
- Cranioplasty with acrylic
- Cranioplasty with springs for metopic synostosis, children ~4–6 months
- Eye evisceration
- Head and neck
- Hidradenitis surgery
- Lambdoid synostosis, unilateral or bilateral, with springs or resorbable plates and pins
- Laser skin treatment (children)
- Le Fort I/Le Fort II/sagittal split/Bimax
- Le Fort III osteotomy with external distractor
- Lipofilling palate
- Microsurgery – free flap
- Minor jaw surgery: sagittal split and Le Fort I
- Monobloc + canthopexy + springs/helmet/Le Fort III
- Nerve grafting for facial palsy
- Orbital floor reconstruction
- Orthognathic and craniofacial surgery (Le Fort II–III)
- Pectus excavatum repair
- PI-plasty for sagittal synostosis from ~6 months
- PI-plasty for sagittal synostosis from ~6 months
- Ptosis repair
- Split-thickness skin graft
- Spring extraction
- Sternocleidomastoid (division)
- Strip craniectomy with springs for sagittal synostosis, ~3–6 months
- Tissue expander insertion or removal for naevus
- Unicoronal synostosis at ~6 months
- Unicoronal synostosis with Arnaud distractor
- Venous malformation (large) – head/neck region
- Venous malformation (large) – outside head/neck region
Ortopedics
- Hemipelvectomy
- Idiopathic scoliosis
- Limb lengthening
- Major spine surgery (anterior lumbar/cervical fusion three levels)
- Major spine surgery (corpectomy, osteotomy)
- Major spine surgery (posterior fusion)
- Major spine surgery (reoperations)
- Major spine surgery (trauma, infections)
- Major spine surgery (tumour)
- Major tumour surgery, skeletal surgery, prosthetic surgery
- Minor spine surgery (anterior lumbar/cervical fusion two levels)
- Minor spine surgery (disc herniation/endoscopic, decompression)
- Minor tumour surgery, soft tissue
- Mutars prosthesis – reconstructive prosthesis knee/hip
- Neuromuscular scoliosis
- Patients at high risk for PONV
- Sacral amputation
- Amputations
- Elbow Surgery
- Shoulder and Humerus Surgery
- Epidural Anesthesia (Epi) Block
- Pelvic Surgery
- Femoral Fracture
- Ankle Fracture
- Primary Hip and Knee Arthroplasty
- Revision Hip and Knee Arthroplasty
- Hip Fracture
- Forearm, Wrist, and Hand Surgery
- Calcaneal, Talar, and Midfoot Fractures
- Malleolar Fracture
- Elderly and Frail Patients
- Spinal–Epidural Anesthesia (SPEDA) or General Anesthesia with Endotracheal Intubation and Epidural Analgesia
- Remifentanil and Sevoflurane
- Lower Leg Fracture
- Compartment Syndrome
- Upper Extremity Surgery
Radiology and Interventions
- Carotid test occlusion / Carotid stenting
- Caval thrombosis
- Chemoembolisation (TACE)
- Computed axial tomography scan and radical ear surgery
- CT-guided biopsy
- Elective cerebral angiography with planned intervention
- EVAR during sedation
- Hepatic artery embolisation
- MRI and CT – diagnostic only
- Paediatric CT (e.g., 3-year follow-up after cranioplasty)
- PTC (percutaneous transhepatic cholangiography)
- Renal artery embolisation
- RF / microwave ablation liver/kidney
- TIPS
- Vena cava stent
- Venous malformation (large) – head/neck region
- Venous malformation (large) – outside head/neck region
Neurosurgery
- Acoustic Neuroma
- Acrylate Cranioplasty
- Aneurysm / Arteriovenous Malformation (AVM)
- Baclofen Pump Refill and Dose Adjustment
- Baclofen Pump Implantation
- Balloon Compression for Trigeminal Neuralgia
- Cervical Disc Herniation
- Deep Brain Stimulation (DBS)
- Acute Epidural Hematoma
- Epilepsy Surgery
- Floating Position 1
- Floating Position 2
- Pituitary Surgery
- Pediatric Neurosurgery (Children Under 12 Years)
- Liberal PONV Prophylaxis for Intracranial Procedures
- Cerebrospinal Fluid Shunt Surgery
- Stereotactic Biopsy
- Acute Subdural Hematoma
- Chronic Subdural Hematoma
- Posterior Fossa Surgery / Chiari Malformation
- Brain Biopsy
- Supratentorial Surgery
- Carotid Endarterectomy (CEA)
- Tethered Spinal Cord Surgery
- Gastric Tube Required for Intracranial Surgery Exceeding 3 Hours
- Vagus Nerve Stimulation
- Awake Craniotomy
- Ventricular Drainage
- Endoscopic Third Ventriculostomy (ETV)
Urology
- Artificial sphincter or advance sling
- Brachytherapy for prostate cancer
- Bricker diversion ± cystectomy (ERAS) open
- Bricker diversion ± cystectomy (ERAS) robot-assisted
- Cystectomy ± creation of ileal reservoir
- Endoluminal ureterolithotomy
- Exenteration – anterior and total (hysterectomy + BSO + cystectomy + rectal amputation, creation of Kock pouch and Bricker diversion)
- Nephrectomy, nephroureterectomy, kidney resection
- Nephrectomy/kidney resection
- Orchidectomy – testis ablation
- Percutaneous endoscopic nephropyelolithotomy
- Percutaneous stone extraction
- Radical prostatectomy – open
- Robot-assisted laparoscopic prostatectomy (RALP)
- Robot-assisted nephrectomy/kidney resection/pyeloplasty
- Staging with retroperitoneal lymph node dissection for testicular cancer – open
- Transurethral resection of bladder tumour (TUR-B)
- Transurethral resection of the prostate (TUR-P)
- Transvesical prostate adenoma enucleation
- TUR-B (Transurethral Resection of Bladder Tumour)
- TUR-P (Transurethral Resection of the Prostate)
- Ureteral reimplantation
- UreteroscopyUrethral diverticulum
- Urethral diverticulum
- Urethroplasty with free skin graft
ENT surgery
- Acute mastoiditis (mastoidectomy)
- Awake fibre-optic intubation
- BAHA bone-anchored hearing aid
- Brainstem audiometry
- Cochlear implant
- Computed axial tomography scan and radical ear surgery
- Cranial and facial trauma
- Epiglottitis
- Epipharyngoscopy
- Epistaxis
- Eye evisceration
- FESS – Functional Endoscopic Sinus Surgery
- Flexible bronchoscopy
- Frontal sinus trepanation
- Genioplasty
- Head and neck
- Hemiglossectomy
- Hemimaxillectomy, hemimandibulectomy and segmental resection
- Hypopharyngoscopy
- Laryngectomy
- Lateral fixation
- Lateral neck cyst
- Lateral rhinotomy
- Lymph node extirpation
- Major neck operations (sternotomy)
- Mandibular fracture
- Microlaryngoscopy
- Minor jaw surgery: sagittal split and Le Fort I
- MIUS possibly with grommet insertion or removal
- Myringoplasty
- Nasal fracture reduction
- Nerve grafting for facial palsy
- Orbital floor reconstruction
- Ossiculoplasty
- Otoplasty
- Parotidectomy (superficial and total
- Radical neck dissection and supraomohyoid dissection
- Removal of iridium implant
- Rhinoplasty
- Rigid bronchoscopy
- Rigid oesophagoscopy
- Septoplasty and turbinate surgery
- Stapedotomy and stapedectomy
- Sternocleidomastoid (division)
- Submandibular gland excision
- Supraomohyoid neck dissection
- TMJ discectomy
- Tongue/floor of mouth biopsy
- Tonsillectomy and tonsillotomy
- Total endoscopy incl. bronchoscopy
- Total nasal reconstruction and rhinoplasty
- TOUSS (Transoral Endoscopic Ultrasonic Surgery)
- Tracheotomy
- Zygomatic fracture – Gilles reduction
