Page 61 - JSOM Winter 2017

Figure 2 Supply list.
Item Quantity Item Quantity
Miscellaneous Supplies Machine/Monitoring Equipment (cont.)
Anesthesia/medical texts/references of choice As needed CO absorbent replacement 3
2
Propaq (including power cord, monitor cables,
Scrub sets (per person) 15 3
hoses, BP cuffs [all sizes])
Scrub hats (per person) 15 RGM Etco detector/monitor or equivalent on Propaq 2
2
Masks (per person) 15 Syringe pump (including power cord, mounting bracket) 5
N-95/tuberculosis masks (per person) 10 Temperature cable for Propaq 2
Examination gloves 2 boxes each size Nerve stimulator 1
Shoe covers 1 box Spo finger probe for Propaq 2
2
Trash bags, large 1 box Batteries (C, 9V, AA, AAA) 1 box of each
Antibacterial hand soap 5 bottles Disposable Monitors
Cidex wipes 2 containers EKG stickers 100
1” silk tape 10 large rolls Spo probes (compatible with Propaq cable) 50
2
1” clear tape 5 large rolls Pediatric Spo probes 10
2
Duct tape 1 roll Skin temperature stickers 30
Extra pens Varies Suction
Anesthesia records/preoperative forms (blank) 30 Source (can share with surgeon or obtain from wall) 2
Drug labels Varies Yankaur suction sets 30
Resealable plastic bags 1 box each size Pediatric Yankaur suction sets 10
Rubber bands Varies Canisters 10
Sharps container 2 Tubing 20 sections
Machine/Monitoring Equipment Salem sump; oro/nasogastic tubes (18F, 16F, 12F) 10 of each size
Anesthesia machine 2 (large green cases) O Equipment/Disposables
2
Anesthesia circuit sets (or assemble individual
Power strip 2 35
components separately)
Voltage step-down converter 4 1L breathing bags 10
Extension cord 2 Pediatric anesthesia circuits 10
Electric power plug adaptors 6 Straight connectors 10
Foam head pillow 4 (can reuse) Accordian connectors 10
Egg-crate foam for legs/arms Ambubag, adult 2
Crescent wrench, large 1 Ambubag, pediatric 2
O wrench 1 Mask, adult (large) 30
2
O regulator 3 Mask, child/small adult 15
2
Multi-plier tool 1 Mask, toddler 10
Scissors 1 Mask, infant 5
Portable Spo finger sensor 1 Jackson-Rees, adult (2L) 5
2
Manual sphygmomanometer 1 Jackson-Rees, pediatric (1L) 5
Stethoscope 1 Male-male connectors 3
Extra O sensors (anesthesia machine) 4 Etco easy-cap detector 3
2 2
Extra CO water traps/sensors (RGM) 6 Cricothyrotomy kit 1
2
Abbreviations: CO , carbon dioxide; EKG, electrocardiogram; Etco , end-tidal carbon dioxide; EtOH, ethyl alcohol; ETT, endotracheal tube; IV,
2
2
intravenous; LMA, laryngeal mask airway; O , oxygen; RGM, regulated gas medium; Spo , saturated oxygen.
2
2
host-nation setting. Selection of appropriate cases will mini- The answers to these questions will allow the anesthesia team
mize the surgical and anesthesia challenges in the OR. lead to have conversations with the surgical team lead regard-
ing the types of cases that can be performed safely on site.
Operative Considerations Having these conversations early and often in the planning
As the details of the overall surgical mission become clearer, it process will ensure that surgical cases can be selected appro-
is time to collect more specific information about the hospital priately once the screening process begins. Ideally, this assess-
or site in which you will be delivering your anesthetic care. ment will be made before the initiation of preoperative clinic
Some key questions to ask include the following: and the selection of surgical cases.
• How reliable is the power to the ORs? Postoperative Considerations
• How is oxygen supplied to the ORs? Assessing the availability of a PACU and PACU personnel
• Is there a designated postanesthesia care unit (PACU)? should not be understated. Our recommendation is to plan
If so, will there be host-nation support for the PACU? on having very little, if any, PACU support. There will likely
• Will there be a secure storage facility or room for our be an area to recover patients, but there will probably be no
supplies? monitoring equipment available or host-nation personnel to

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