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Department of Anesthesiology - Residents Section

Survival tools - OR Setup (adult room)

Walk-in – be sure all items are in working condition!!!

  • Ambubag
  • Suction setup – tubing, yankauer, canister
  • EKG (pads)
  • Pulse Oximeter
  • BP cuffs
  • Head strap and arm boards

Machine check

  • O2 tank back-up (>1000 psi) – turn OFF after checking!!!
  • CO2 absorbent – fresh!
  • New circuit and mask
  • Positive pressurized leak check w/ O2 flow off, check pressure with gauge using O2 flush and closed APR valve, hold 30 psi for 20 sec
  • Calibrate machine and check scavenging system
  • Calibrate O2 analyzer (21%)
  • Capnograph – blow into tubing
  • Volatile gases – full?

Table setup

  • Emergency drugs: lido 2% 5cc, atropine 3cc, ephedrine 10cc, neo cope – check light!
  • Blades - Miller, MAC 3 and MAC 4
  • ETT 7.5 w/ stylette (NOT past Murphy's eye); check cuff for leak w/ 10 cc syringe
  • Gauze pads, EtOH swabs, lubricant
  • Syringes for Glyco 3cc, Versed 3cc, fentanyl 5cc, sux 10cc, nimbex 10cc, STP 20cc, lido 2% 5cc
  • Oral and nasal airway, tongue depressor
  • Esophageal stethoscope and probe
  • ETT pink tape and regular tape
  • Drape holders/clips (you can use tape)
  • #3, #4, #5 LMA (under table) for emergency
  • Heat/moisture exchanger
  • Nerve stimulator

Peripherals – Do NOT open until needed!

  • Bear hugger machine w/ upper and lower body blankets
  • Fluid warmer machine w/ primed tubing
  • CVP line transducer – remember to zero!
  • A-line transducer w/ 500 U heparin in 500cc NS or D5W
  • Propofol pump and tubing w/ stopcock
  • Shoulder roll – 3 sheets rolled and taped together
  • Christmas tree for circuit
  • Box of gloves
  • IV fluids w/ stop-cock and primed tubing – LR or NS; D5 0.2% for ESRD
  • Extra pulse ox sensors
  • Albuterol MDI w/ 60cc syringe

Welcome and good luck!