TOTALANESTHESIA
Patient Weight
kg
PropofolInduction
10 mg/mL
Low
1 mg/kg
70.0mg
Standard
2 mg/kg
140mg
High
2.5 mg/kg
175mg
IV Push
EtomidateInduction
2 mg/mL
Low
0.2 mg/kg
14.0mg
Standard
0.3 mg/kg
21.0mg
High
0.4 mg/kg
28.0mg
IV Push
KetamineInduction
50 mg/mL
Low
0.5 mg/kg
35.0mg
Standard
1.5 mg/kg
105mg
High
2 mg/kg
140mg
IV Push
SuccinylcholineParalytics
20 mg/mL
Low
1 mg/kg
70.0mg
Standard
1.5 mg/kg
105mg
High
2 mg/kg
140mg
IV Push
RocuroniumParalytics
10 mg/mL
Low
0.6 mg/kg
42.0mg
Standard
0.9 mg/kg
63.0mg
High
1.2 mg/kg
84.0mg
RSI dose: 1.2 mg/kg
IV Push
VecuroniumParalytics
1 mg/mL
Low
0.08 mg/kg
5.60mg
Standard
0.1 mg/kg
7.00mg
High
0.15 mg/kg
10.5mg
IV Push
CisatracuriumParalytics
2 mg/mL
Low
0.1 mg/kg
7.00mg
Standard
0.15 mg/kg
10.5mg
High
0.2 mg/kg
14.0mg
IV Push
FentanylOpioids
50 mcg/mL
Low
0.5 mcg/kg
35.0mcg
Standard
1 mcg/kg
70.0mcg
High
2 mcg/kg
140mcg
IV Push
MorphineOpioids
2 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.15 mg/kg
10.5mg
IV Push
HydromorphoneOpioids
1 mg/mL
Low
0.005 mg/kg
0.350mg
Standard
0.01 mg/kg
0.700mg
High
0.02 mg/kg
1.40mg
IV Push
RemifentanilOpioids
50 mcg/mL
Low
0.05 mcg/kg/min/kg
3.50mcg/kg/min
Standard
0.1 mcg/kg/min/kg
7.00mcg/kg/min
High
0.2 mcg/kg/min/kg
14.0mcg/kg/min
IV Infusion
SugammadexReversal
100 mg/mL
Low
2 mg/kg
140mg
Standard
4 mg/kg
280mg
High
16 mg/kg
1120mg
Immediate reversal: 16 mg/kg
IV Push
NeostigmineReversal
1 mg/mL
Low
0.03 mg/kg
2.10mg
Standard
0.05 mg/kg
3.50mg
High
0.07 mg/kg
4.90mg
Max 5 mg. Give with glycopyrrolate.
IV Push
FlumazenilReversal
0.1 mg/mL
Low
0.005 mg/kg
0.350mg
Standard
0.01 mg/kg
0.700mg
High
0.02 mg/kg
1.40mg
Max 1 mg total
IV Push
NaloxoneReversal
0.4 mg/mL
Low
0.001 mg/kg
0.070mg
Standard
0.004 mg/kg
0.280mg
High
0.01 mg/kg
0.700mg
Titrate to effect
IV Push
EphedrineVasopressors
5 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.2 mg/kg
14.0mg
Typical bolus: 5-10 mg
IV Push
PhenylephrineVasopressors
100 mcg/mL
Low
0.5 mcg/kg
35.0mcg
Standard
1 mcg/kg
70.0mcg
High
2 mcg/kg
140mcg
Typical bolus: 50-200 mcg
IV Push
EpinephrineVasopressors
1 mg/mL
Low
1 mcg/kg
70.0mcg
Standard
5 mcg/kg
350mcg
High
10 mcg/kg
700mcg
Cardiac arrest: 1 mg (10 mcg/kg)
IV Push
VasopressinVasopressors
20 units/mL
Low
0.01 units/kg
0.700units
Standard
0.03 units/kg
2.10units
High
0.04 units/kg
2.80units
Typical bolus: 1-2 units
IV Push
MidazolamBenzos
1 mg/mL
Low
0.01 mg/kg
0.700mg
Standard
0.03 mg/kg
2.10mg
High
0.05 mg/kg
3.50mg
Preop: 1-2 mg typical
IV Push
DiazepamBenzos
5 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.2 mg/kg
14.0mg
IV Push
OndansetronAntiemetics
2 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.15 mg/kg
10.5mg
Typical: 4 mg
IV Push
DexamethasoneAntiemetics
4 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.15 mg/kg
10.5mg
Typical: 4-8 mg
IV Push
MetoclopramideAntiemetics
5 mg/mL
Low
0.1 mg/kg
7.00mg
Standard
0.15 mg/kg
10.5mg
High
0.2 mg/kg
14.0mg
Typical: 10 mg
IV Push
GlycopyrrolateAnticholinergics
0.2 mg/mL
Low
0.002 mg/kg
0.140mg
Standard
0.004 mg/kg
0.280mg
High
0.006 mg/kg
0.420mg
With neostigmine: 0.2 mg per 1 mg neostigmine
IV Push
AtropineAnticholinergics
0.4 mg/mL
Low
0.005 mg/kg
0.350mg
Standard
0.01 mg/kg
0.700mg
High
0.02 mg/kg
1.40mg
Bradycardia: 0.5-1 mg
IV Push
LabetalolAntihypertensives
5 mg/mL
Low
0.1 mg/kg
7.00mg
Standard
0.25 mg/kg
17.5mg
High
0.5 mg/kg
35.0mg
Typical bolus: 10-20 mg
IV Push
EsmololAntihypertensives
10 mg/mL
Low
0.25 mg/kg
17.5mg
Standard
0.5 mg/kg
35.0mg
High
1 mg/kg
70.0mg
Ultra-short acting beta blocker
IV Push
HydralazineAntihypertensives
20 mg/mL
Low
0.05 mg/kg
3.50mg
Standard
0.1 mg/kg
7.00mg
High
0.2 mg/kg
14.0mg
Typical: 5-10 mg
IV Push
NicardipineAntihypertensives
0.1 mg/mL
Low
0.01 mg/kg
0.700mg
Standard
0.02 mg/kg
1.40mg
High
0.03 mg/kg
2.10mg
Infusion: 5-15 mg/hr
IV Infusion
LidocaineLocal Anesthetics
1% (10 mg/mL)
Low
3 mg/kg
210mg
Standard
4.5 mg/kg
315mg
High
7 mg/kg
490mg
Max without epi: 4.5 mg/kg. Max with epi: 7 mg/kg.
Infiltration / Nerve Block
BupivacaineLocal Anesthetics
0.25-0.5% (2.5-5 mg/mL)
Low
1.5 mg/kg
105mg
Standard
2.5 mg/kg
175mg
High
3 mg/kg
210mg
Max without epi: 2.5 mg/kg. Max with epi: 3 mg/kg. Cardiotoxic risk.
Infiltration / Nerve Block / Epidural
RopivacaineLocal Anesthetics
0.2-0.5% (2-5 mg/mL)
Low
1.5 mg/kg
105mg
Standard
3 mg/kg
210mg
High
3.5 mg/kg
245mg
Less cardiotoxic than bupivacaine. Max ~3 mg/kg.
Nerve Block / Epidural
MepivacaineLocal Anesthetics
1-1.5% (10-15 mg/mL)
Low
3 mg/kg
210mg
Standard
4.5 mg/kg
315mg
High
7 mg/kg
490mg
Max without epi: 4.5 mg/kg. Max with epi: 7 mg/kg.
Infiltration / Nerve Block
ChloroprocaineLocal Anesthetics
2-3% (20-30 mg/mL)
Low
8 mg/kg
560mg
Standard
11 mg/kg
770mg
High
14 mg/kg
980mg
Ester type. Rapid onset, short duration. Max with epi: 14 mg/kg.
Epidural / Infiltration
Color Legend
Induction
Paralytics
Opioids
Reversal
Vasopressors
Antihypertensives
Benzos
Antiemetics
Anticholinergics
Local Anesthetics