Ecuador-May 2011

Equipment Needs-Combined List

Update 8/04/11

Logistic Support:

 A host anesthesiologist at each induction and extubation

 Lab support as needed
 Access to PICU for emergency transfer
 If we do not bring narcotics (fentanyl, morphine, midazolam, remifentanyl, we will need
an accurate list of medications available for our purchase on site
 Please provide list of machine models and associated intraoperative monitors.

Preoperative evaluation:

 Pulse oximeters, NIBP, scale

 Lab testing to include CBC, EKG, electrolytes, accurate scale, interpreter services.

Anesthesia Minimum intraoperative equipment:

 Functional modern anesthesia machine calibrated vaporizer for the delivery of

Sevoflurane.
 BRING Intraoperative telemetry, pulse oximeter, NIBP, gas analyzer (CO2, oxygen,
anesthetic agent), neuromuscular monitor (peripheral nerve simulator),
 Volumetric pumps x 3, adequate supply of medical grade oxygen,
 BRING Pedi desfibrilator with pads.
 BRING Dantrolene and other MH treatment equipment available.

Airway management:

BRING:

 Oral Airway:
o 10 each 50,60,70,80,90,100mm
 Nasal airways:
o 3 each 20,22,24,26,28,30
 Transport circuits:
o 10 mapleson D
o 5 Pedi AMBU
 Laryngoscope blades
o 2 each: Miller 0,1,2,3
o 3: Wis-Hip 1.5
o 2 each: Mac 1,2,3

BRING

 Laryngoscope handles: 2 each Pedi, 1 Adult.

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Face Masks BRING

 5 neonatal: 10 each size

o Infant, Sm Child (green), lg Child (clear), Sm adult (yellow), Adult (blue)

LMA:

BRING

 Flexible: 3 each; 2, 2.5, 3, 4

 Dispo: 5x 1.0, 10 each 1.5, 2, 2.5, 3

ETT:

BRING

 15 each: cuffed 3, 3.5,4, 4.5, 5, 5.5

 10 each: cuffed 6, 6.5, 7, 7.5
 15 each: uncuffed 2.5, 3, 3.5, 4, 4.5, 5
 5 ea: Oral RAE: 4, 4.5, 5

ETT stylettes:

BRING

 Pedi: 20
 Adult: 10

Temperature management:

BRING

 Forehead thermometers: 20
 Mylar blankets: 10

Intravenous Equipment:

 IV sets: 30 60 drops/ml
 Calibrated infant sets: 10
 PIV catheters: ea: 24g, 22g, 20g

IVF: Access or bring:

 LR: 250ml x 30
 D5LR: 250ml x 10
 D5W: 50ml x 20

IV Equipment: BRING

 Alcohol pads
 Tourniquets
 Tegaderm dressings

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  Arm boards
 Tape (paper, silk)
 T- pieces

Syringes:

 100 ea: 1ml, 3ml, 5ml, 10ml, 20ml

Needles: 100 ea: 18g, 20g, 24, 25x30g

IV filters: 15

Recovery room needs:

 Means to monitor vital signs

 Means to resuscitate children as needed (BRING)
 Suction equipment at bedside
 Ability to provide nebulized epinephrine, atrovent, albuterol, racemic adrenaline (BRING)

Misc

 Suction catheters (8fr, 12 fr, 14fr)

 Yankahuer suction tips
 Orogastric tubes: 12, 14, 16, 18 fr x 5 ea.
 Tape: silkk, pink, paper.

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Medications:

 Sevoflurane min of 5 bottles Decadron/Solumedrol

 Propofol: 50 20ml amp (BRING) Zantag
 CisAtracurium 10 5ml amps (BRING) Norepinephrine
 Remifentanyl: 20 1mg amps Vecuronio/Pavulon
 Emergency Medications
 Fentanyl :20 2ml amps or equiv Epinephrine
 Morphine: 20 10mg amp or equiv Atropine
 Ondasetron: 20 4 mg amps (BRING) Neostigmine
 Midazolam: 20 2 mg amps or equiv Glycopyrrolate

Ativan Naloxone

 Ketamine: 5 amps x 500 mg Succinylcoline

 Clonidine: 10 amps or dexmedetomidine 5 amps Ephedrine
 Local anesthetics: Phenylephrine
o Bupiv 0.75%x5 amps Oxymetalozine
o Lidocaines 2 % x 10 Albuterol
 Acetaminophen (BRING) Furosemide
o PO 100mg/ml x 20
o PR doses 10 ea: 125mg, 220mg, 450mg
 Ibuprofen: 20 amps liquid (BRING)
 Ketorolac x 5 amps
 Dexamethasone: 4 mg x 50 amps
 Antibiotics:
o Cefazolyn
o Clindamicyn
o Unasyn
o Vancomicyn
 Lidocaine 1% with epinephrine 1:100,000
 Lidocaine 4% with atomizers (BRING)
 Cleocin
 Decadron
 Ciprodex (BRING)
 Afrin nasal spray
 Dopamine
 Epinephrine
 Albuterol (BRING)

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By means of the present one I report to you, the list of the different supplies, equipments, and
medication that we will need in the mission that was carried out 18 at 20 May 2011.

For the given attention

Atentamente,

Lic, Guadalupe Valles