General Equipment

• Posted telephone numbers for emergency (EMS) response, physicians, hospital emergency department, police, or other personnel capable to respond to an office emergency related to general anesthesia and iv sedation.
  
• Office Emergency Manual
  
• Personnel to administer CPR/BLS (Dr & 2 assistants, minimum)
  
• Interoffice communication system
  
• Clocks, battery powered, (watches acceptable)
  
• Oxygen, positive pressure and passive delivery systems
  
• Portable oxygen supply (recommend "E" cylinder)
  
• "Ambu" bag for positive pressure ventilation, assorted full face masks
  
• Mouth props, assorted sizes
  
• Suction tips and tubing
  
• Emergency suction device
  
• Emergency light sources, battery operated flashlights are acceptable

Patient monitoring parameters for general anesthesia

• Heart rate (automatic monitoring)
  
• Defibrillator, electrodes and supplies or Automated Electronic Defibrillator (AED)
  
• Blood pressure; strongly recommend automatic NIBP (noninvasive automatic blood pressure) equipment, minimum 5-minute interval time monitoring, continuous use.
  
• ECG ("EKG"), continuous use
  
• Oxygen saturation, (pulse oximeter, continuous use, strongly recommended that the unit has functional alarms)
  
• Stethoscope
  
• Respiration monitoring, such as visible reservoir bag, visibility of patient’s chest movement and related.
  
• Temperature (recommended if using halogenated hydrocarbon inhalation general anesthetics)
  
• Intravenous solutions "ACLS compatible" such as NS, D5W1/2NS, LR, LRD, PLA) (NOTE: D5W is not recommended for use in ACLS or similar or equivalent emergencies), IV administration sets & tubing
  
• Syringes, needles, IV catheters, tape, scissors
  
• Laryngoscopes, assorted size blades, spare batteries
  
• Oral and nasal airways, adult and pediatric sizes
  
• Endotracheal tubes, adult and pediatric sizes
  
• Magill forceps
  
• Yankauer type suction tips, catheter suction
  
• Capnography (end tidal carbon dioxide, respiration, rate) (recommended)

Generic Types of Pharmacological Agents Required

• Analgesics
  
• Local Anesthetics
  
• Vasopressors
  
• Vasodilators (coronary)
  
• Anti-Bradicardic Agents
  
• Bronchodilators
  
• Muscle relaxant for treatment of laryngospasm
  
• Antihistamine
  
• Narcotic antagonist
  
• Anticonvulsant
  
• Steroids
  
• Tranquilizers
  
• Anti-hypertensive
  
• Benzodiazepines
  
• Benzodiazepine antagonist
  
• Anti-arrhythmic (lidocaine, amiodarone) (updated as per current ACLS)
  
• Aspirin
  
• Nitroglycerine (tablets, paste, spray)
  
• Antiemetic
  
• Dantrolene - Specifically recommended for use where halogenated hydrocarbon general anesthetic inhalation agents such as halothane, enflurane, isoflurane, sevoflurane, desflurane are used, and where succinylcholine is used routinely (not emergency use). Should MH (malignant hyperthermia) develop, treatment with Dantrolene should be initiated before the patient is transported to an emergency room.