Sports Guidelines (Lower Extremity manipulation by Ortho)

Last updated: February 9, 2026

Airway
LMA
Maintenance
Propofol gtt or some gas
Emergence
Awake
Antibiotics
None
Position
Supine
Access
PIV x1
Induction
PIV or Mask Induction.

Notes

blood on standby. Methadone for pain control up front (0.01 mg/kg). tranexamic acid bolus (30 mg/kg) and gtt (10 mg/kg/hr)

CHOP Sports Division Guidelines
Dexamethasone (0.2 mg/kg up to 10 mg) for PONV.
Regional Anesthesia. Lower Extremity Femoral (0.2% ropivacaine 1 mL/kg up to 30 mL, with clonidine 1 mcg/kg up to 50 mcg). Lower Extremity Sciatic (0.15% ropivacaine 1 mL/kg up to 20 mL)
Maintenance: Propofol gtt with EEG or some inhalational.
Emergence: Ketorolac, ondansetron