Emergency Ventilation Equipment

Ambu-Bag on back of cart/machine
LMA, other adjuncts

Low Pressure System

Negative Pressure Test (especially Ohmeda)
  - test with power off
  - test with each vaporizer open
Turn on machine

High Pressure System

Check levels in O2 and other tanks
- make sure you reclose the valves or you will bleed the tanks dry
 - “righty tighty, lefty loosey”
Check pressure levels on line-sources
Calibrate Oxygen Sensor
Check Flow Sensors (Ohmeda only)

Breathing System

Positive Pressure Test

-Set gas flows to minimum
-close APL valve
-occlude Y-piece
- pressurize to at least 30cm H2O
- pressure should hold at 30 for 10 sec with less than 500cc flow

Scavenging System

Pressurize circuit (as above); open APL valve; ensure pressure goes to zero

Ventilation System -Place reservoir bag on Y-piece

 -turn APL to “auto”
-turn on ventilator (and flush with O2)
-check that bellows return to top with each breach
-check that inspiratory and expiratory valves work

Check vaporizer levels

Monitors

 -turn on! 
 -make sure ETCO2 is “awake”

Suction

Intubation Supplies

- make sure laryngoscope of choice has a working light
- check balloon on ETT of choice
- stylettes, oral airways, extra tubes, spare laryngoscope

Drugs

sedative, narcotic, hypnotic, paralytic
emergency:  pressors, atropine