Outpatient Surgery Magazine

Special Edition: Staff & Patient Safety - October 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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O C T O B E R 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 2 3 Instructions and protocol The summary of procedures includes instruc- tions for preparing the OR for known MH-sus- ceptible patients, as well as the protocol for treating an MH crisis, with graphic instructions for preparing and administering dantrolene, removing the anesthetic vapor cassette and FULLY STOCKED Is Your MH Cart Properly Equipped? Ancillary equipment Our cart also contains pertinent ancillary equip- ment, including urinary catheters and a urine collection container, central venous access kits and blood sampling materials. —Carlos A. Ibarra Moreno, MD, PhD, DESA Dantrolene sodium vials Dantrolene sodium vials (20 mg each) are packed in separate containers. There are always enough vials for the initial treatment of one patient. We keep three full dantrolene contain- ers in the cart. installing activated carbon filters in the breath- ing circuit. The folders also contain printed warning signs, which are hung in the OR when- ever there is an MH case in the room. Facing a malignant hyperthermia (MH) incident is scary, and if your MH cart is not properly stocked and organ- ized, your staff will have more difficul- ty handling the sit- uation with confi- dence. At our facil- ity, one MH cart holds enough drugs and equipment for the initial treatment of three patients. During an MH crisis, the anesthe- siologist in charge becomes the team leader and is responsible for the patient's medical manage- ment and administering treatment. Anesthesia assistants take care of materials and equipment while the rest of the team — including nurses and other physicians present — help prepare the dantrolene and give support to the anesthesiolo- gist in charge. STAY ORGANIZED Two folders on top of the cart contain a summary of procedures and a list of items in the MH cart, which is checked on a weekly basis. Carlos A. Ibarra Moreno, MD, PhD, DESA

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