BEFORE PATIENT ARRIVES Anaesthetic Preop A ssessment Prepare Airway E quipment Check Machine Working Laryngoscope VL if available ET T ubes Syringe Stylet TieTape Adjuncts eg ID: 917625
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COVID-19 Anaesthesia Checklist
BEFORE PATIENT ARRIVES
Anaesthetic Pre-op AssessmentPrepare Airway EquipmentCheck MachineWorking Laryngoscope (VL if available)ET Tubes, Syringe, Stylet, Tie/TapeAdjuncts e.g. Bougie, LMA, Oral airwayWorking Suction + Suction CatheterBreathing Circuit + Viral filter + FacemaskConsider Tube Clamp & Aerosol Barrier Prepare Drugs Induction Agent NM Blockade (+ Reversal +/- Stimulator)Emergency drugs e.g. Atropine, AdrenalineAnalgesics / AntiemeticsAntibioticsOther drugs as relevant IV Cannulas, Fluids (+ Pumps), Blood Additional Items e.g. Pen/documents, Dedicated waste bag
INSIDE THEATRE (WEAR PPE)
Anaesthesia Team BriefingConfirm team rolesDiscuss & confirm need for intubation and anaesthetic plan Intubation PlanPlan A: RSI or Modified RSIPlan B/C: Mask ventilation or LMA Plan D: Rescue - FONA Team members apply PPEGown, Hat, Eye Protection, N95/FFP mask, gloves (anaesthesia provider double glove for airway management)Non-essential personnel leave Patient transferred to theatre wearing surgical mask
Essential personnel onlyApply patient monitoringOptimise patient positionOptimise patient conditionSet-up any barrier methodsTeam confirm anaesthetic planPre-oxygenate >3 mins, low flowsProceed with RSI / Modified RSIMinimise Aerosolization Avoid BVM ventilation during apnoeic period unless hypoxiaInflate cuff before ventilatingSecure tube & all connectionsAvoid unnecessary disconnectionsConsider clamping ETT after insertion until ventilator attachedConfirm ETT placement with capnography (if available) or resource appropriate methodsEnsure patient condition stable Proceed with surgery
Ensure patient condition stableNo non-essential personnel in OR Perform suction prior to extubationAvoid excessive or over-suctioningConsider in-line suction if available Extubate on OR table Avoid unnecessary disconnectionsKeep any aerosol barrier in place Extubate when indicated Minimize coughing at extubation Apply oxygen mask or facemask when extubatedArrange transfer when indicatedNo entry to OR without PPE until designated time post-extubation (according to OR ventilation)Remove PPE in designated area
PREPARE
PLAN
INTUBATION
EXTUBATION
Facemask2-Person2-HandedAdjunctsLow FlowLow Pressure
LMA / Supraglottic Airway (2nd generation if available)