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Anaesthetics
| BNF CODE – 15.1.1 | ||
| INTRAVENOUS ANAESTHETICS | NOTES | |
| THIOPENTAL SODIUM | 500 mg Injection | Occasional use induction (epileptics / day cases) |
| ETOMIDATE | 20 mg in 10 ml Injection | Occasional use induction (minimum effect on BP) |
| KETAMINE | 10 mg / ml Injection 20ml Vial 50 mg /ml Injection 10ml Vial 100 mg /ml Injection 10ml Vial | Occasionally used – can be given IM Also used to sedate for procedures |
| PROPOFOL | 1% Intravenous Infusion 20ml Amp 2% Intravenous Infusion 50ml Vial 1% 50ml Pre-Filled Syringe 2% 50ml Pre-Filled Syringe | General 1st line induction |
| BNF CODE – 15.1.3 | ||
| ANTIMUSCARINIC PREMEDICATION DRUGS | NOTES | |
| ATROPINE SULPHATE | 200 micrograms / ml Pre-filled Syringe 5ml 600 micrograms in 1ml Amp | 1st line peri-operative antimuscurinic Also used for bradycardias |
| GLYCOPYRRONIUM BROMIDE | 200 microgram / ml 1ml & 3ml Ampoules | ROBINUL2nd line peri-operative antimuscurinic (For drying secretions, difficult ENT cases, laryngoscopy / fibre-optic intubation) |
| GLYCOPYRRONIUM BROMIDE + NEOSTIGMINE | 500 microgram +2.5mg in 1ml Amp | ROBINUL – NEOSTIGMINE2nd line peri-operative antimuscurinic (For drying secretions, difficult ENT cases, laryngoscopy / fibre-optic intubation) |
| HYOSCINE HYDROBROMIDE | 400 micrograms / ml 600 micrograms / ml | |
| HYOSCINE-N-BUTYLBROMIDE | 20mg / ml | |
| BNF CODE – 15.1.4.1 | ||
| ANXIOLYTICS & NEUROLEPTICS | NOTES | |
| Important Info | ||
| SEDATION ON ITU | 1) Midazolam & Morphine (longer term with analgesia) 2) Midazolam & Fentanyl (medium term with analgesia) 3) Propofol (short term no analgesia) | |
| DIAZEPAM | 2mg, 5mg Tablets 2mg / 5ml, 5mg/5ml Oral Liquid 10mg / 5ml FORTE Oral Liquid 10 mg in 2ml Injection 10mg in 2ml EMULSION Injection 2.5mg, 5mg, 10mg Rectubes | |
| LORAZEPAM | 1mg tablets 4mg / ml Injection | |
| MIDAZOLAM | 1mg / ml Injection | 1st line benzo for sedation |
| MIDAZOLAM 40mg in 1ml & Lidocaine 20mg in 1ml Intra-Nasal Solution [Specials order from Guys & St.Thomas 5×0.5ml ampoules] | RESTRICTED Adults Special Care Dentistry [Unlicensed Use / Special]DENTAL PROTOCOL Sedation_for_patients_with_special_needs | |
| BNF CODE – 15.1.4.2 | ||
PERIOPERATIVE NON-OPIOID ANALGESICS | NOTES | |
| KETOROLAC TROMETAMOL | 10 mg in 1ml Injection 30 mg in 1ml Injection | |
| BNF CODE – 15.1.4.3 | ||
| PERIOPERATIVE OPIOID ANALGESICS | NOTES | |
| ALFENTANIL | 1mg in 2 ml Injection 5 mg in 10 ml Injection 5 mg in 1 ml Injection | Some use – IV maintenance |
| FENTANYL | 100 micrograms in 2ml Injection 500 micrograms in 10ml Injection | 1st line use – IV induction & some maintenance |
| FENTANYL + BUPIVACAINE | 2microgram per ml +0.1% (20ml Syringe) Injection 2microgram per ml & 0.1% (250ml) STERIFLEX Infusion | Unlicensed RESTRICTED USE (ITU) Reserved for the following groups of Patients on ITU (THEATRES are exempt from this restriction):
|
| FENTANYL + LEVOBUPIVICAINE | 2micrograms/ml + 0.1% in 250ml infusion | Unlicensed RESTRICTED USE: Labour analgesia via lumbar epidural |
| BNF CODE – 15.1.5 | ||
| MUSCLE RELAXANTS | NOTES | |
| ATRACURIUM BESYLATE | 25 mg in 2.5ml Injection 50 mg in 5ml Injection 250 mg in 25ml Injection | General use – effects wear off quickly |
| MIVACURIUM | 10 mg in 5ml Injection 20 mg in 10 ml Injection | Occasional use – short acting |
| PANCURONIUM BROMIDE | 2mg/ml 2ml Ampoule | RESTRICTED use – for ventilated patients (Neonatal Unit) |
| ROCURONIUM BROMIDE | 50 mg in 5ml Injection | |
| SUXAMETHONIUM | 100 mg in 2ml Injection 100 mg in 2ml Pre-Filled Syringe | Used in emergency / rushed procedures |
| BNF CODE – 15.1.6 | ||
| ANTICHOLINESTERASES for reversal of NEUROMUSCULAR BLOCKADE | NOTES | |
| NEOSTIGMINE | 2.5 mg in 1ml Injection | |
| GLYCOPYRRONIUM BROMIDE + NEOSTIGMINE | 500 microgram +2.5mg in 1ml Amp | ROBINUL – NEOSTIGMINEGeneral use – reversal NM block |
| OTHER DRUGS for reversal of NEUROMUSCULAR BLOCKADE | NOTES | |
| SUGAMMADEX | 100mg/ml (2ml & 5ml ampoules) | RESTRICTED Theatres/Anaesthetics SMC Acceptance for Immediate Reversal |
| BNF CODE – 15.1.7 | ||
| ANTAGONISTS FOR CENTRAL AND RESPIRATORY DEPRESSION | NOTES | |
| FLUMAZENIL | 500 micrograms in 5ml Injection | Reversal Benzodiazepines |
| NALOXONE | 400 micrograms in 1ml Injection 400 micrograms in 1ml MINIJET 40 micrograms in 2ml (NEONATAL) | Reversal OPIOIDS |
| BNF CODE – 15.1.8 | ||
| ANTAGONISTS FOR MALIGNANT HYPERTHERMIA | NOTES | |
| DANTROLENE SODIUM | 20 mg Intravenous Infusion | Reversal BZD |
| BNF CODE – 15.2.0 | ||
| LOCAL ANAESTHESIA | NOTES | |
| LIDOCAINE | NOTES | |
| LIDOCAINE | 0.5 % Injection 20ml Vial 1 % Injection (10mg / ml) 5ml, 10ml Amp 2 % Injection (10mg / ml) 2ml, 5ml, 20ml Amp | LIDOCAINE PREPARATIONS |
| LIDOCAINE + ADRENALINE / EPINEPHRINE | 0.5% +1:200,000 1% +1:100,000 5ml, 10ml amp 1% +1:200,000 20ml amp 2% + 1:200,000 20ml amp 2% +1:80,000 Dental Cartridges | LIDOCAINE + ADRENALINE PREPARATIONS |
| LIDOCAINE TOPICAL | 1 %, 2% Gel 15ml | SURFACE & LOCAL ANAESTHESIA |
| LIDOCAINE | TOPICAL 4 % Solution 30ml | SURFACE & LOCAL ANAESTHESIA Unlicensed medicine 4th line anaesthetic treatment prior to endoscopy |
| LIDOCAINE | 4% Cream 5g Tube [LMX 4] TOPICAL | RESTRICTED Paed.Anaesthetics / Paed.Day Case Only SURFACE & LOCAL ANAESTHESIA |
| LIDOCAINE | 10% Oral Spray (10mg / dose) | SURFACE & LOCAL ANAESTHESIA |
| LIDOCAINE + PRILOCAINE | 2.5% + 2.5% Cream 5g Tube [EMLA] TOPICAL | SURFACE & LOCAL ANAESTHESIA |
| LIDOCAINE + PHENYLEPHRINE | 5% +0.5% Topical Solution 2.5ml | SURFACE & LOCAL ANAESTHESIA |
| BUPIVICAINE | RESTRICTED TO ANAESTHETICS USE ONLY | |
| BUPIVACAINE | 0.25%, 0.5% Polyamp 10ml | MARCAIN POLYAMPS |
| BUPIVACAINE | 5mg Heavy 4ml Amp 250mL 0.125% Epidural Infusion | MARCAIN HEAVY Used for acute pain |
| BUPIVACAINE & ADRENALINE | 0.25% & 1:200,000 Injection 0.5% & 1:200,000 Injection | Long Term Supply Problem |
| LEVOBUPIVICAINE | Injection 1.25mg/ml in 200ml bag Injection 2.5mg/ml, 5mg/ml, 7.5 mg/ml vials | |
| OTHER AGENTS | NOTES | |
| Lidocaine 2% | Optilube Active CHG free 11ml, 6ml | Optilube Medicines Supply Issue Communication Updated Oct 20 |
| ‘MOFFAT’S’ 1% SOLUTION | Cocaine 5% (2ml)+ Sodium Bicarbonate 1% (7ml) + Adrenaline 1 in 1000 (1ml) | Pre-Packed Kit for reconstitution RESTRICTED ENT Theatres Only |
| CITANEST 3% WITH OCTAPRESSIN | 0.03IU Standard Dental Cartridges | |
| COCAINE | 5 % Solution (Syringe) 25 % (1g in 1ml) Paste | |
| CO-PHENYLCAINE | Nozzle | |
| ETHYL CHLORIDE | 50ml Spray | |
| PRILOCAINE | 1 % Injection 50ml | |
| PRILOCAINE | 20mg/ml (20%) 5ml amp glucose 60mg/ml | PRILOTEKAL (hyperbaric) RESTRICTED Use. Consultant Anaesthetist SMC (Prilotekal) |
| PROCAINE 2 % Injection TETRACAINE 4 % (Amethocaine) | Ametop Gel | |
1. Gastro-Intestinal System | 2. Cardiovascular System | 3. Respiratory System | 4. Central Nervous System | 5. Antimicrobials | 6. Endocrine System | 7. Obstetrics, Gynaecology & Urology | 8. Malignant Disease & Immunosuppression | 9. Nutrition & Blood | 10. Musculoskelatal & Joint Diseases | 11. Opthalmology | 12. Ear, Nose & Oropharynx | 13. Dermatology | 14. Immunology & Vaccines | 15. Anaesthetics | GP Centre Home