Position: Supine
Time: 1-2 hours (average)

Maintenance Paralytic: No

After applying monitors, add an O2 mask with the end-tidal sampler from the machine. Alternatively, you could use an end-tidal nasal cannula if the patient’s SaO2’s will handle it.

Give a propofol bolus (usually between 50-100 mg). This will get the patient off to sleep.

The podiatry/ortho surgeon will usually be waiting – so the above should happen as quickly as possible.

The surgeon’s typically like the table up high and the patient moved down to the foot of the bed.

For these cases, because of the length, you’ll likely want to put the patient on a propofol drip (typically between 75-150 mcg/kg/min). Alternatively, you could push propofol in incremental doses.