S2E2 - Preparing the Operating Room

In this episode, we discuss setting up the operating room for a general anesthetic. The mnemonic SOAP-IM(S) is a helpful checklist for organizing all of the necessary equipment. 1. SuctionIs the suction equipment (Yankauer/suction system) present and working?2. Oxygen:Check circuit tubing, gas analyzer tubing, filter, face maskCheck for availability of back-up O2 tank3. Airway: Have a plan for potentially difficult airways (stay tuned for the next episode!)Prepare an appropriately sized endotracheal tube (ETT), laryngoscope & oropharyngeal/nasopharyngeal airwayCheck ETT cuff for leaks Have backup equipment readyKnow where to access video-laryngoscope 4. Pharmacy: Check for commonly used medications and rescue medicationsCheck the expiry dates of medications as you draw them up, and label each syringe with the medication and concentration5. IV: equipment for placing an IV, fluids, IV tubing.6. Machine: anesthetic machine check.Check for leaks Ensure circuit can supply positive pressure 7. Monitors: refer to the CAS requirements Standard required monitors for every patient: Pulse oximeterBlood pressure (NIBP)3-lead or 5-lead ECGETCO2 gas analyzer - measure of ventilationOther equipment you will commonly use:CapnographyTemp monitorStethoscopePeripheral nerve stimulator8. Special equipment + Seat: any extra case-specific equipment, and chairs for you and your staff!Consider special equipment such as blood products as neededSupport the show

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