Page 62 - JSOM Winter 2017

Figure 3 Medications list. BJ, Bristol Jet.
Item Quantity Item Quantity
Anesthetic agents Controlled substances
Lidocaine 2% MPF (5mL vials) 30 Ketamine (100mg/mL), 5mL vials 15
Lidocaine 4% (vial) 2 Fentanyl (50μg/mL), 5mL vials 50
Propofol (10mg/mL), 20mL vials 60 Morphine (10mg/mL), 1mL vials 25
Propofol (10mg/mL), 50mL vials 15 Hydromorphone (2mg/mL), 1mL vials 25
Propofol (10mg/mL), 100mL vials 90 Midazolam IV (1mg/mL), 2mL vials 30
Vecuronium (10mg/10mL vial) 10 Midazolam syrup (2mg/mL), 118mL bottle 1
Rocuronium (10mg/mL), 5mL vials 30 Sufentanil (50μg/mL); 2mL vials 15
Succinylcholine (20mg/mL), 10mL vials 20 Remifentanil, 1mg/mL vial 100
Ranitidine 25mg/mL (10mL vial) 6 Oxycodone, 5mg and 10mg tabs 100 of each
Dexamethasone (4mg/mL), 5mL vials 20 Emergency drugs
Ondansetron (2mg/mL), 2mL vials 40 Atropine sulfate (0.4mg/mL), 1mL vials 10
Droperidol (2.5mg/mL), 1 mL vial 10 Phenylephrine, 10mg/mL vials 10
Phenergan (25mg/mL), 1mL vials 15 Ephedrine sulfate 50mg/mL (1mL amp) 20
Glycopyrrolate (0.2mg/mL), 5mL vials 30 Epinephrine, 1mg/mL vials 10
Neostigmine (1mg/mL), 10mL vials 15 Sodium bicarbonate 7.5% BJ, 50mL vial 2
EMLA cream, 30g tubes 3 Lidocaine 2%, 10mL vial 10
Lidocaine 2% topical jelly, 30mL tubes 3 Esmolol (10mg/mL), 10mL vial 4
Surgilube 120.49g 2 Metoprolol (1mg/mL), 5mL vial 4
Albuterol metered-dose inhaler, 17g 15 Diphenhydramine, 50mg/mL 4
Racemic epinephrine 2.25% INH 10 Adenosine (3mg/mL), 2 mL vial 4
Oxymetazoline 30 Vasopressin (20 units/mL), 1mL vial 4
Naloxone (0.4mg/mL), 1mL vial 10 Amiodorone (50mg/mL), 3mL vial 4
Flumazenil (0.1mg/mL), 10mL vial 3 Furosemide (10mg/mL), 2mL vial 4
Ropivicaine 0.2%, 0.5% (30mL bottles) 3 each Calcium chloride (100mg/mL), 10mL BJ 4
Clonidine HCl (0.1mg/mL), 10mL vials 2 Magnesium sulfate, 1g/2mL 4
Sevoflourane, bottle 6 Hydralazine, 20mg/mL 4
Dantrolene 20 vials Labetolol, 5mg/mL 4
Sterile water 40 vials Insulin 100 U/mL, bottle 1
Sodium chloride 0.9% solution, 100mL bags 30 Insulin U-100 syringes 20
Analgesics Dextrose 50%, 50 mL BJ 2
Acetaminophen suppositories (80mg) 10 Antibiotics
Acetaminophen suppositories (120mg) 20 Cefazolin, 1g vial 60
Acetaminophen suppositories (325mg) 20 Clindamycin (300mg/mL), 3mL vial 20
Acetaminophen oral suspension (160mg/5mL), bottle 1 Staff comfort; other items
Acetaminophen tablets, 325mg 100 Pregnancy test kits, urine 10
Ibuprofen tablets, 200mg 100 Ciprofloxacin tabs 50
Children’s Ibuprofen oral suspension (100mg/5mL), bottle 1 Loperamide tabs 50
Ketoralac (30mg/mL), 1mL vials 30 Ondansetron tabs 30
Scopolamine patches 10

monitor their recovery. Therefore, determining the level of gained much from their mission experiences, as well, and this
PACU support members of the anesthesia team must perform has added to their overall residency experience.
and the equipment that will be needed to achieve this support
must be accounted for in the mission-specific planning stage.
Final Mission Planning
Mission Objectives As the mission gets closer, it is important to confirm that all
The anesthesia team lead should develop mission objectives supplies have been acquired and have either been shipped or
for the team in support of the surgical mission. Primary objec- a plan for packing them is complete. Travel dates and travel
tives should include patient safety, team safety, and being an documents (i.e., passports, visas) must be verified. Routine
ambassador of good will to the host country. Secondary objec- communication with the lead surgeon is helpful because that
tives can include educating local residents on anesthetic care person will often receive changes to the plan before anyone
and techniques, and expanding resident or student training (if else on the mission team.
applicable). It has been established that surgical residents have
had very favorable international humanitarian mission experi- Remain flexible in the days leading up to the mission depar-
ences and we have found that our anesthesia residents have ture because, undoubtedly, unexpected changes will occur.
8,9

60 | JSOM Volume 17, Edition 4/Winter 2017