ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBTBUBVBWBXBYBZCACBCCCDCECFCGCHCICJCKCLCMCNCOCPCQCRCSCTCUCV
1
get the formula here
Username(Create strong username)
Resident anaesthesiologist name
Resident ansethesiologist experience
Consultant anaesthesiologist 1 name
Consultant anaesthesiologist 1 experience (in years)
Other anaesthesiologists covering the case
Patient nameAgeGenderweight(Kg)BMI(Kg/m2)
Coexisting diseases
PONV factors for children
PONV factorsASA category
Patient recieved from
Preop fasting(in Hr)
Postcoceptional age <60wks( in case of a nenate)
H/O preterm delivery
H/O NICU admission
Reason of NICU admission
Congenital anomalies
URTI features
Premedication at parent's lap
Airway difficulty
Mallampati Class
Neck extension
Thyromental distance
Mouth opening
Factors for difficult mask ventilation
Reason of airway difficulty not specified
Cormac Lehane grade(1,2,3a,3b,4,)
Name of Hospital
City
Location of anaesthesia
Diagnosis
Name of surgery
PriorityDate of surgery
Time of starting anaesthesia
Anaesthesia end time
GAPriority of GA
Preoxygenation given
Type of anaesthesia
Intubation asETT typesETT sizeThroat packDLT sizeDLT type
Methods of lung isolation
Confirming lung isolation techniques
Supraglottic devices
Supraglottic device size
Sealing Pressure for SGA (mmHg)
Method of induction
IV induction dose (mg/Kg)
Intubation drugs
Intubation dose (mg/Kg)
Any drug given to attentuate intubation response
Intubation technique
Number of attempts for ETT/ supraglottic
Reason for Multiple attempts
Intubation duration (sec)
BURP maneuver used
Any airway adjuncts used
Intervention of another expert required
Ventilation
Maintenance anaesthesia
Reason for high-flow
Reversal
Extubation techniue
Neuraxial anaesthesia
Priority of technique( neuraxial)
Technique
Position for SAB
Projection of needle
Spinal needle
Size of the needle
Number of attempts for SAB
Reason for multiple attempts(SAB)
Total volume of drugs for SAB(ml)
LA used in SAB
Adjuvants for SAB
Dose of adjuvant(mcg)
Level of anaesthesia achieved
Level of anaesthesia checked with
Technique for epidural
Llength of catheter in the space(cm)
Drugs for epidural analgesia/caudal/Labour epidural
Drugs for epidural analgesia/caudal/Labour epidural
Initial bolus dose for epidural
Catheter used for continuous anaesthesia/analgesia
Epidural infusion dose(intraoperative)
Epidural ifusion dose (postoperative)
PCA pump used
Position for Caudal
Needle for caudal
2
Copy the formula above.Paste in Formula box (fx).Replace "Username" in the formula with your username and press enter.Username(Create strong username)Resident anaesthesiologist name
Resident ansethesiologist experience
Consultant anaesthesiologist 1 name
Consultant anaesthesiologist 1 experience (in years)
Other anaesthesiologists covering the case
Patient nameAgeGenderweight(Kg)BMI(Kg/m2)
Coexisting diseases
PONV factors for children
PONV factorsASA category
Patient recieved from
Preop fasting(in Hr)
Postcoceptional age <60wks( in case of a nenate)
H/O preterm delivery
H/O NICU admission
Reason of NICU admission
Congenital anomalies
URTI features
Premedication at parent's lap
Airway difficulty
Mallampati Class
Neck extension
Thyromental distance
Mouth opening
Factors for difficult mask ventilation
Reason of airway difficulty not specified
Cormac Lehane grade(1,2,3a,3b,4,)
Name of Hospital
City
Location of anaesthesia
Diagnosis
Name of surgery
PriorityDate of surgery
Time of starting anaesthesia
Anaesthesia end time
GAPriority of GA
Preoxygenation given
Type of anaesthesia
Intubation asETT typesETT sizeThroat packDLT sizeDLT type
Methods of lung isolation
Confirming lung isolation techniques
Supraglottic devices
Supraglottic device size
Sealing Pressure for SGA (mmHg)
Method of induction
IV induction dose (mg/Kg)
Intubation drugs
Intubation dose (mg/Kg)
Any drug given to attentuate intubation response
Intubation technique
Number of attempts for ETT/ supraglottic
Reason for Multiple attempts
Intubation duration (sec)
BURP maneuver used
Any airway adjuncts used
Intervention of another expert required
Ventilation
Maintenance anaesthesia
Reason for high-flow
Reversal
Extubation techniue
Neuraxial anaesthesia
Priority of technique( neuraxial)
Technique
Position for SAB
Projection of needle
Spinal needle
Size of the needle
Number of attempts for SAB
Reason for multiple attempts(SAB)
Total volume of drugs for SAB(ml)
LA used in SAB
Adjuvants for SAB
Dose of adjuvant(mcg)
Level of anaesthesia achieved
Level of anaesthesia checked with
Technique for epidural
Llength of catheter in the space(cm)
Drugs for epidural analgesia/caudal/Labour epidural
Drugs for epidural analgesia/caudal/Labour epidural
Initial bolus dose for epidural
Catheter used for continuous anaesthesia/analgesia
Epidural infusion dose(intraoperative)
Epidural ifusion dose (postoperative)
PCA pump used
Position for Caudal
Needle for caudal
3
arundrarunpawan1st yeararun6Harsh<18yMale10Nil
age older than equal to 3yr, surgery duration more than or equal to 30 min
1Ward8NoNoNoNilN/AYes1Adequate>6cm>3cmsharing airwayCHAFBangalore
Dental sedation unit
CariesPulpectomyElective3/6/202112/30/1899 9:00:0012/30/1899 9:45:00NoNo
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