ANESTHESIOLOGY MNEMONICS

Anesthetics equipment check MISMADE: Machine check IV supplies Suction Monitors Airways Drugs Equipment

"Little Boys Prefer Toys": Lidocaine Bupivicaine Procaine Tetracaine

Endotracheal intubation: diagnosis of poor bilateral breath sounds after intubation DOPE: Displaced (usually right mainstem, pyreform fossa, etc.) Obstruction (kinked or bitten tube, mucuous plug, etc.) Pneumothorax (collapsed lung) Esophagus

Anesthesia: quick check SOAP: Suction Oxygen Airway Pharmacology

General anaesthesia: equipment check prior to inducing MALES: Masks Airways Laryngoscopes Endotracheal tubes Suction/ Stylette, bougie

Failed intubation: causes INTUBATION: Infections of larynx Neck mobility abnormalities Teeth abnormalites (eg poor dentifom, loose and protuberant teeth) Upper airway abnormalities, strictures, or swellings Bullsneck deformities Ankylosing spondylitis Trauma/ TumourInexperienceOedema of upper airwayNarrowing of lower airway

Respiratory complications of anaesthesia: patients at risk COUPLES: COPD Obese Upper abdominal surgery Prolonged bed rest Long surgery Elderly Smokers

Anesthesia machine/room check MS MAID: Monitors (EKG, SpO2, EtCO2, etc) Suction Machine check (according to ASA guidelines) Airway equipment (ETT, laryngoscope, oral/nasal airway) IV equipment Drugs (emergency, inductions, NMBs, etc)

Xylocaine: where not to use with epinephrine "Nose, Hose, Fingers and Toes" Vasoconstrictive effects of xylocaine with epinephrine are helpful in providing hemostasis while suturing. However, may cause local ischemic necrosis in distal structures such as the digits, tip of nose, penis, ears. Spinal anesthesia agents