General Case-Setup
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This is a standard setup used for a general case. Provider preference may vary. Use caution during medication dilution. Always recheck the initial and final concentration. If unsure, discard and restart dilution.
  • Perform an anesthesia machine. Turn on Etco2 machine and BIS (if used). Emergency equipment.
  • Set up.
  • Laryngoscopes (2), Mac and Miller blade (1 each). Make sure laryngoscope light is functional
  • Eye tape
  • Tongue blade
  • Oral airway (appropriate size)
  • Endotracheal tube (appropriate size) Standard size – 7.0 Female, 7.5 Male
  • ETT Stylet. (Keep proximal to murphy's eye)
  • Endotracheal tape
  • 10ml syringe for Endotracheal tube. Check tube cuff for leaks
  • Skin/Esophageal temperature probe.
  • Additional equipment: Ensure availability.
  • Laryngeal Mask Airway
  • Nasogastric/Orogastric tube
  • Surgical lube
  • BIS monitor
  • Esophageal Temperature probe
  • Bair hugger (lower and upper)
  • Head rest
  • V lead EKG cord
  • Arm straps, padding
  • IV start kits
  • Set up syringes for the day. Include 30ml, 10ml, 5ml and 3ml
  • Draw and dilute emergency drugs (check vial concentration)
  • Succinylcholine 20mg/ml = 5ml = 100mg
  • Ephedrine 50mg/ml- Dilute in 9ml of Normal Saline- Final Concentration 5mg/mlALWAYS DOUBLE CHECK INITIAL AND FINAL CONCENTRATION
  • Phenylephrine 10mg/ml – Need to be double diluted- Final concentration: 100mcg/ml. Dilution can be performed by using following methods.
  • Draw the 1ml vial in 10ml syringe. Inject and mix in 100ml Normal saline bag. Concentration in bag is 100mcg/ml. Draw 10ml from the 100ml bag.  
  • Draw the 1ml vial in 1ml TB Syringe. Inject 0.1 ml into 10ml syringe. Dilute with Normal Saline to a total of 10ml in syringe. Final Concentration- 100mcg/ml. ALWAYS DOUBLE CHECK INITIAL AND FINAL CONCENTRATION
  • Standard induction Medication:  Check preceptor preference.
  • Versed
  • Fentanyl
  • Propofol (other Hypnotics)
  • Succinylcholine
  • Non Depolarizing muscle relaxant.
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