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Home > Formulary : Paediatric > Paediatric Chapters > 15. Anaesthesia >

BNSSG Paediatric Joint Formulary

15.1 General Anaesthesia

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Last edited: 20-02-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

15.1 General Anaesthesia

Propofol 1% (10mg/mL) (TLS Red)

Thiopental sodium (TLS Red)

Propofol 2% (20mg/mL) (TLS Red)

  • BRHC Theatres/Paediatric Intensive Care [High Risk Cupboard]

 

Anaesthetics (Volatile Liquid)

Nitrous oxide (TLS Red)

  • Paediatric Pain Service Acute Pain Management Guideline

 

Volatile Halogenated Anaesthetics

Isoflurane (TLS Red)

Sevoflurane (TLS Red)

 

15.1.1 Anaesthetic adjuvants

Antimuscarinics

Atropine (TLS Green)

Glycopyrronium (TLS Red)

 

15.1.2 Malignant hyperthermia

Dantrolene (TLS Red)

  • Supply for BRHC Theatres/Paediatric Intensive Care

 

15.1.3 Neuromuscular blockade

Depolarising Muscle Relaxants

Suxamethonium (TLS Red)

 

Non-depolarising Muscle Relaxants

Atracurium (TLS Red)

Pancuronium (TLS Red)

Rocuronium (TLS Red)

Vecuronium (TLS Red)

 

15.1.4 Neuromuscular blockade reversal

Anticholinesterases Used in Anaesthesia

Neostigmine / Glycopyrronium (TLS Red)

Sugammadex (TLS Red)

Neostigmine (TLS Red)

 

15.1.5 Peri-operative analgesia

Non-steroidal Anti-inflammatory Drugs

Diclofenac injection (TLS Red)

Ketorolac injection (TLS Red)

Paracetamol injection (TLS Red)

 

Opioids

Morphine (TLS Amber)

Oxycodone (TLS Amber)

Tramadol (TLS Amber)

Alfentanil (TLS Red)

Fentanyl (TLS Red)

Remifentanil (TLS Red)

Diamorphine nasal (Ayendi®) Paediatric analgesia (TLS Red)

  • Approved for the use in emergency departments and MIU

 

15.1.6 Peri-operative sedation

Specific indication:

Dexmedetomidine (TLS Red)

  • For use in Paediatric intensive care for use in long stay patients who are experiencing difficult sedation, particularly those with life threatening pulmonary hypertension or intractable withdrawal from sedation/analgesic drugs

Ketamine (TLS Red)

  • See BRCH Children’s Premedication Guideline

Dexmedetomidine (intranasal) (TLS Red)

  • Second line treatment option for sedative pre-medication before general anaesthesia for surgery. For use on the ward / in theatres only under guidance of specialist.
  • Intranasal dexmedetomidine should be administered via an atomiser to aid absorption.

 

Benzodiazepines

Diazepam (TLS Red)

Midazolam (TLS Red)

Lorazepam (TLS Red)

 

15.1.7 Antidotes

Antidotes

Intralipid (lipid emulsion therapy) (TLS Red)

For emergency use only

Flumazenil (TLS Red)

Naloxone (TLS Red)