DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Splenectomy (Open)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV cephalosporin at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
PRE-OPERATIVE VACCINATIONS: Pneumococcal, Haemophilus influenzae type b, and meningococcal vaccines administered minimum 2 weeks pre-operatively (if elective). Post-splenectomy prophylactic antibiotics prescribed.
POSITION: Supine. Nasogastric tube inserted.
INDICATION:
[Idiopathic thrombocytopenic purpura (ITP) / haematological malignancy / haemolytic anaemia / symptomatic splenomegaly / trauma]. [Platelets and blood products available. Haematology review completed if ITP.]