Intraoperative Anesthesia Equipment PDF

AT-SIE 201 Lect.2 Intraoperative Anesthesia Equipment Ghazi Gasmalla Mohamed – M.Sc. Anestheia-Intensivecare www.gmu.ac.ae Objective At the end of this session the students will be able to: List most of basic anesthesia intraoperative equipment List the intraoperative care equipment Li...

AT-SIE 201 Lect.2 Intraoperative Anesthesia Equipment Ghazi Gasmalla Mohamed – M.Sc. Anestheia-Intensivecare www.gmu.ac.ae Objective At the end of this session the students will be able to: List most of basic anesthesia intraoperative equipment List the intraoperative care equipment List the emergency cart equipment THE DEFINITON OF ANESTHESIA INSTRUMENTS USED IN ANESTHESIA Anaesthetic machine Anaesthetic vaporizers Anaesthetic breathing system Ventilator Defibrillator Pulse oximeter Oxygen mask Nasal oxygen set Artificial resuscitator/Bag valve mask Guedel airway Laryngeal mask airway/L.M.A Laryngoscope Optical Stylets Bonfils  Defibrillator gel pads (2) Monitor paper in printer, as appropriate Self-inflating bag-valve-mask Emergency oxygen tanks (2) with regulator and nipple attached Portable battery-operated suction with Yankauer attached Stethoscope Gloves Airway Equipment Stylettes (2) Laryngoscope handles (2) Laryngoscope blades #3 curved and #4 curved Laryngoscope bulb (1) (as appropriate) Extra batteries for laryngoscope handle ET tubes sizes 6, 6.5, 7, 7.5, 8, 8.5 Rescue airways (e.g. supraglottic airway - King Systems sizes 3, 4 and 5 or classic LMA sizes 3, 4 and 5) Oral airways sizes 8 cm, 9 cm, 10 cm (1 each) Airway Equipment Airway Equipment Cont....... 1. Lidocaine spray with nozzle (1) 2. Lidocaine jelly 2% 3. ETT ties or tape 4. Syringe 10 cc (1) 5. Magill forceps 6. Easy Cap CO2 detector 7. Yankauer suction (2) 8. Deep suction catheters (2) Medications (Unless quantity specified, medications are in sufficient quantities to provide emergency care as outlined in the ACLS algorithms) Adenosine Amiodarone Antihypertensive (hydralazine or nifedipine) ASA – non-enteric coated Atropine Beta blocker (one of metoprolol, propranolol, esmolol) Dextrose 50% Medications Cont...... Morphine Diphenhydramine Naloxone Ephedrine Nitroglycerine spray Epinephrine Phenylephrine Flumazenil Salbutamol puffer with spacer Furosemide Sodium bicarbonate Hydrocortisone Sodium dantrolene (36 vials) Labetalol Succinylcholine Lidocaine Vasopressin Midazolam Verapamil Lipid emulsion (if using bupivacaine or ropivacaine) IV and Medication Preparation Equipment Small transparent dressings IV tubing (2 sets) 2x2 gauze Normal saline 500 ml (2) and 1,000 ml (1) Tape D5W 250 ml (1) Razors (2) Minibags 50 cc and 100 cc Medication labels Artificial colloid (1 bag) NS 10 ml vials (5) Tourniquet Syringes 10 ml (4) Alcohol swabs Syringes 3 ml with needle (3) IV cannula sizes 18-22G Needles (various sizes) (2 of each size) Additional Supplies Glucometer (readily available in the facility) Sterile gloves Scissors Pen light Sharps container Emergency cuffed cricothyrotomy set in a size appropriate to the facility's patient population (1) Pressure bag (1) Non-rebreather oxygen mask (2) Simple oxygen mask (2) Pediatric Supplies (as appropriate) Pediatric laryngoscope handle (2) Pediatric laryngoscope blades Mac size 1 and 2 Laryngoscope bulb (1) (as appropriate) Extra batteries for laryngoscope handle ET tubes sizes 4.0, 4.5, 5.0, 5.5, cuffed and uncuffed Rescue airways classic LMA sizes 1.5, 2.0, 2.5 Oral airways sizes 60 mm, 70 mm and 80 mm Pediatric Magill forceps Pediatric Supplies (as appropriate) / Cont...... Pediatric non-rebreather oxygen masks (in sizes appropriate to expected range of patient size and age) or Jackson-Reese T-Piece device Pediatric simple oxygen masks (in sizes appropriate to expected range of patient size and age) Intraosseous needles sizes 16G and 18G Intravenous infusion pump Intravenous infusion pump tubing (2) IV cannula sizes 24G (2) and 22G (2) Butterfly needles sizes 19-25G Arm boards Gastric tubes sizes 10F and 12F BP apparatus and cuffs (in sizes appropriate to expected patient size and age) Recommended Contents of Malignant Hyperthermia Management Kit Compartment 1: dantrolene 100 mls vial of sterile water for injection x 12 12 vials of dantrolene (20 mg per vial) (sufficient for an initial 2.5mg/kg dose plus 2 repeat 1mg doses in an average adult) 10 x 50ml syringes Guideline for management of crisis and task allocations Details of location of reserve dantrolene supplies Recommended Contents of Malignant Hyperthermia Management Kit / Cont..... Compartment 2: treatment Calcium chloride 10% Sodium bicarbonate (50ml 8.4% syringe) Amiodarone 300mg Beta Blockers Glucose (20%) 50ml propofol vials / prefilled syringes for Total intravenous anesthesia(TIVA) Recommended Contents of Malignant Hyperthermia Management Kit / Cont..... Compartment 3: ABG FBC (full blood count) investigation / monitoring Blood bottles Coagulation Biochemistry Urine sample bottles Group & save and Crossmatch Arterial cannulae and transducer sets Central Venous Catheter (CVC) and transducer sets COMPONENTS OF AN IBP MEASURING SYSTEM Recommended Contents of Malignant Hyperthermia Management Kit / Cont..... Fridge pack 2 liters of cold sodium chloride 0.9% for IV administration Short-acting insulin Thanks