Practical tools

International Mission Anesthesia Considerations

• Type of anesthetic (GETA vs regional vs MAC)
• The patient (ASA-physical status, co-morbidities, pediatric, elderly)
• The procedure (duration, level of post-op pain)
• Same standard of care (anesthetic monitoring equipment, peri-op antibiotics, etc.)
• Recovery capacity (PACU beds and staff)

Back to basics

• Importance of physical exam
•  Preoperative Anesthetic assessment (recognize limitations)
• Monitoring basics for equipment failure
• Understanding and collaborative interactions with local personnel

Anesthesia checklist

• Oxygen (reliable source, backup E-cylinder)
• Suction (functional, reliable)
• Anesthetic equipment
  • Back-up manual resuscitator
  • Sufficient drugs and supplies
  • Anesthesia machine nuts & bolts (Ohmeda 885-A)
  • Appropriate monitoring equipment
• Scavenging system
• Electrical outlets
• Resuscitation equipment (Defibrillator, emergency drugs, etc.)