Plus-Hex CLINICAL
Recommended Procedures
Pre-Anaesthesia
��Has anything significant been identified in the history and / or clinical examination ?
� Do any abnormalities warrant further investigation ?
� Can any abnormalities be stabilised prior to anaesthesia ?
� What complications are anticipated during anaesthesia ?
� How can these complications be managed ?
� Would the patient benefit from premedication ?
� How will any pain associated with the procedure be managed ?
� How will anaesthesia be induced & maintained ?
� How will the patient be monitored ?
� How will the patient ’ s body temperature be maintained ?
� How will the patient be managed in the postanaesthetic period ?
� Are the required facilities , personnel & drugs available ?
Anaesthetic Machine
PRIMARY OXYGEN source checked � BACK-UP OXYGEN available
OXYGEN ALARM working ( if present )
FLOWMETERS working VAPORISER attached and full
Anaesthetic machine passes LEAK TEST
SCAVENGING checked
Available MONITORING equipment functioning
EMERGENCY equipment and drugs checked
Drugs / Equipment
• Endotracheal tubes ( cuffs checked )
• Airway aids ( e . g . laryngoscope , urinary catheter , lidocaine spray , suction , guide-wire / stylet )
• Self-inflating bag ( or demand valve for equine anaesthetics )
• Epinephrine / adrenaline
• Atropine
• Antagonists ( e . g . atipamezole , naloxone / butorphanol )
• Intravenous cannulae
• Isotonic crystalloid solution
• Fluid administration set
Drug charts & CPR algorithm ( http :// www . acvecc-recover . org /)
This checklist was written by the AVA with design and distribution support from
Appendix 1 . AVA Aaesthetic Safety Checklist [ 12 ] ( continued from previous page ).
Volume 39 ( 5 ) • October 2024
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