Equipment check list for anaesthesia or sedation in a remote location away from the operating theatre

Remember the acronym SOAPME.

🔘S (suction) – Appropriate size suction catheters and functioning suction apparatus.

🔘O (oxygen) – Reliable oxygen sources with a functioning flow meter. At least one spare E-type oxygen cylinder.

🔘A (airway) – Size appropriate airway equipment: • Face mask • Nasopharyngeal and oropharyngeal airways • Laryngoscope blades • ETT • Stylets • Bag-valve-mask or equivalent device.

🔘P (pharmacy) – Basic drugs needed for life support during emergency: • Epinephrine (adrenaline) • Atropine • Glucose • Naloxone (reversal agent for opioid drugs) • Flumazenil (reversal agent for benzodiazepines).

🔘M (monitors): • Pulse oximeter • NIBP • End-tidal CO2 (capnography) • Temperature • ECG

🔘E (equipment): • Defibrillator with paddles • Gas scavenging • Safe electrical outlets (earthed) • Adequate lighting (torch with battery backup) • Means of reliable communication to main theatre site

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