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Equipment setup prior to airway management for anesthesia

Equipment setup prior to airway management for anesthesia
Anesthesia machine
  • Checked, with circuit attached
Suction
  • Soft suction catheter for infants
  • Yankauer for older children
  • Two suction devices if large amounts of blood or emesis expected in the airway
Facemask
  • Sized to form seal around nose and mouth
Oxygen delivery system (if prolonged intubation predicted)
  • Standard nasal cannula, high flow nasal cannula, laryngoscope oxygen side port
Self-inflating reservoir bag
  • Backup in case of machine failure
Oral airway
  • Measured from corner of mouth to angle of mandible
Nasal airway
  • Measured from nare to earlobe, slightly smaller in diameter than nare
Laryngoscopes
  • Two, either in consecutive sizes (ie, Miller 1 and Miller 2), or one straight and one curved blade (ie, Miller 2 and Mac 2)
Endotracheal tubes
  • Correct cuffed tube size (ID in mm) predicted by 3.5 + (age in years/4)
  • Have 0.5 mm smaller tube available
Stylets
  • Preloaded in ETT, or readily available
Supraglottic airway
  • Sized by weight, according to manufacturer's recommendation
Emergency drugs, drawn in syringes with needle appropriate for IM injection if no IV in place
  • Succinylcholine, 4 mg/kg for IM, 1 mg/kg for IV
  • Atropine, 0.02 mg/kg for IM or IV
ETT: endotracheal tube; IM: intramuscular; IV: intravenous.
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