<p>
<br> <br>
Please administer oral Cerenia before the procedure.
</p>
<p> PREOPERATIVE MEDICATIONS: <br>
Buprenorphine 0.02 mcg/kg IM. <br>
Dexmedetomidine 10 mcg/kg IM <br>
Midazolam 0.3 mg/kg IM. <br>
Please mix all three drugs together and give intramuscularly. The peak effect for this sedation protocol will occur in 30 minutes, and I recommend waiting this time period before placing the catheter.

</p>
<p> INDUCTION: <br>
Propofol 6 mg/kg IV.

Please provide supplemental oxygen (100 %) via face mask for 5-10 minutes before induction. It is important that the face mask remains on the patient’s face through the induction period to prevent hypoxemia if the patient becomes apneic.

</p>
<p> MAINTENANCE: <br>
Isoflurane: 1.3-1.8 % <br>

</p>
<p> FLUID THERAPY: <br>
Isotonic crystalloid fluids – 5 mL/kg/hr during surgery <br>.

</p>
<p>INTRAOPERATIVE MONITORING:<br>
MONITORING: pulse oximetry, ECG, noninvasive blood pressure, end-tidal CO2 and temperature <br>

</p>
<p> Locoregional Techniques:<br>
Lidocaine 2% – 1-2 mg/kg total dose for testicular block.
</p>
<p> POSTOPERATIVE PLAN:<br>
NSAIDs or an additional dose of buprenorphine (0.01 mg/kg IV) may be given after surgery.
<br><br>Please continue to monitor the patient with pulse oximetry in the postoperative period for 30 minutes. If her SPO2 reading falls below 95%, please provide supplemental oxygen via face mask. <p/>