Pulse ox

BP cuff and check BP

Then EKG leads and nerve stimulator 

Teperature monitoring

LMA 

Bougie

Intubating stylet

Glidescope

Difficult airway cart

Bronchoscope 

2 mg/kg

Vial: 10mg/ml

1.5 mg/kg

Vial: 10mg/ml

0.2-0.4 mg/kg

Vial: 2mg/ml

ECT: 0.15-0.3 mg/kg 

1-4.5 mg/kg

Vial: 50 or 100 mg/ml 

IM: 6.5-13mg/kg 

1-1.5 mg/kg

Vial: 20mg/ml 

0.6-1.2 mg/kg 

Onset: 1-3 mins

Duration: 31 mins 

0.1 mg/kg

Onset: 2-3 mins 

25-40 minutes 

0.15-0.2 mg/kg 

Onset: 2-3 min

Duration: 30-40 

2-20 mcg/kg

Vial: 50 mcg/ml 

0.1-0.2 mg/kg

Vial: 10mg/ml 

0.5-4 mg

Vial: 2mg/ml 

1-1.5 mg/kg

Vial: 20mg/ml

0.4-1mg

Vial: 0.4mg/ml

5-10 mg

Vial: 50mg/ml

40-80 mcg

Vial: 80 mcg/ml 

Lidocaine

Induction

Muscle Relaxant- stopcock 

Turn on ventilator

Set flow rates and rate

Observe CV response 

Stage of analgesia or the stage of disorientation

Begins at induction-ends at the loss of consciousness

Stage of Excitement or the stage of delirium 

Begins with loss of consciousness-ends with onset of automatic breathing 

Eyelash reflex disappears-but all other reflexes intact so patient can cough, vomit, laryngospasm, etc

Eyes dilate and become dsyconjugate

Stage of surgical anesthesia 

Begins onset of automatic breathing-ends with respiratory paralysis 

From cessation of respiration til death 

Anesthetic overdose 

Pupils are widely dilated and muscle are relaxed

Onset of autonomic respiration to cessation of eyeball movement

Swallowing reflex disappears, eyelids relfex, disconjugate eye movement 

Cessation of eyeball movements to beginning of intercostal muscle paraylsis 

Laryngeal reflex lost, corneal lost, secretion of tears increases, respiration is automatic and regular

Movement and deep breathing as a reponse to skin stimulation disappears 

From beginning to completion of intercostal muscle paralysis

Diaphragmatic respiration persists, progressive intercostal paralysis, pupils dilated-no liight reflex

Laryngeal refle can be initiated by painful stimuli from dilation of anus or cervix- laryngospasm

Preoxygenate

Induction Agent

Lash Reflex

Tape eyes

Mask ventilate

Give muscle relaxant

Intubate

Confirm ETT

Preoxygenate

Induction Agent

Paralytic

Cricoid Pressure

Tape Eyes?

DO NOT MASK VENTILATE

Confirm placement of ETT

Release cricoid pressure