[Verse 1]
Volatile or TIVA, weigh the case before you start
Malignant hyperthermia — propofol wins that part
High PONV risk, neuromonitoring on the line
Environmental burden tilts toward intravenous design
Marsh and Schnider model your effect-site concentration
Eleveld spans the ages, Minto handles opioid titration
TCI keeps the plasma target steady in the stream
Balanced anesthesia — more than gas and a dream
[Chorus]
Maintain the depth, protect the lung
Watch the block, keep the pressure from the wrong
IBW for tidal volume, PEEP to hold alveoli wide
Hemodynamics, glucose, temperature — nothing slips aside
Six to eight mils per kilo, recruitment when you need
Document every shift — precision is the creed
[Verse 2]
Lung-protective ventilation, PROVHILO showed us how
IMPROVE confirmed the benefit — low tidal volumes now
Spontaneous breathing through an SGA — monitor the seal
Awareness lurks below MAC oh-point-seven, make it real
Bispectral index, entropy — depth has many faces
Underdose the volatile and awareness leaves its traces
Neuromuscular blockade — TOF before you say reversal's done
Residual curarization caught by quantitative monitoring, one by one
[Chorus]
Maintain the depth, protect the lung
Watch the block, keep the pressure from the wrong
IBW for tidal volume, PEEP to hold alveoli wide
Hemodynamics, glucose, temperature — nothing slips aside
Six to eight mils per kilo, recruitment when you need
Document every shift — precision is the creed
[Verse 3]
INPRESS taught us MAP below sixty injures kidney and brain
POISE revealed that beta-blockade cuts MI but strokes remain
Fluids guided by stroke volume variation, dynamic response
Avoid the temperature drift — hypothermia confounds
Glucose above ten is toxic, below four you're blind
Tight control without hypoglycemia — walk that narrow line
Multimodal analgesia maps the postoperative terrain
Ketamine blunts opioid tolerance, lidocaine dulls visceral pain
[Bridge]
Dexmedetomidine quiets the sympathetic surge
Magnesium steadies voltage-gated channels at the verge
Now position every patient like a lawsuit's watching close
Ulnar nerve at the medial epicondyle — padding matters most
Brachial plexus stretched in beach chair, common peroneal at the knee
Prone eyes checked every thirty minutes — cornea and retina
Compartment syndrome, venous air embolism, lithotomy time limits too
ASA positioning guidance isn't optional review
[Chorus]
Maintain the depth, protect the lung
Watch the block, keep the pressure from the wrong
IBW for tidal volume, PEEP to hold alveoli wide
Hemodynamics, glucose, temperature — nothing slips aside
Six to eight mils per kilo, recruitment when you need
Document every shift — precision is the creed
[Outro]
Handover carries every number, every drug, every event
Intraoperative record — the story of intent
Maintenance isn't passive, it's a hundred small decisions
Anesthesia written in precision