title: Implementing a perpetual anesthesia setup standardized for the trauma room in a level I trauma center.
abstract: The trauma room in a level I trauma center is a dynamic environment that provides little room for error. Significant variability can exist if anesthesia providers set up the room differently. Standardization provides a system that is consistent, reliable, and cost-effective. This study examines the process of creating and implementing a standardized anesthesia setup in the trauma room of a level I trauma center. As a result of this study, the medication cart and airway setups have been standardized. Providers are encouraged to only draw up medications that will be immediately used and to ensure that prefilled syringes have been incorporated into the pharmacy formulary. Using the EZ Endo prestyleted endotracheal tube (ETT) vs a regular ETT with stylet has yielded an annual cost savings of $2,673. Ensuring that items such as an esophageal temperature probe, humidifier, and nasogastric tube are available but unopened has provided a savings of $1,989.25 per year. The reservoir bag has been changed to a latex-free bag, and 3 central line kits including an arterial line kit are routinely stocked. An ultrasound machine dedicated for central line access, GlideScope, rapid fluid infuser, and Airtraq laryngoscope have all been incorporated into the permanent setup in the trauma room.
authors.affiliation: Virginia Commonwealth University Medical Center, Richmond, Virginia, USA. acf9g@alumni.virginia.edu
authors.forename: Amanda C
authors.initials: AC
authors.lastname: Faircloth
authors.forename: Mary B
authors.initials: MB
authors.lastname: Ford
mesh_terms: D000776:Anesthesiology / Q000295:instrumentation*; D004630:Emergencies; D006801:Humans; D007442:Intubation, Intratracheal / Q000191:economics / Q000592:standards*; D008509:Medication Systems / Q000191:economics / Q000592:standards*; D009873:Operating Rooms / Q000592:standards*; D016730:Program Development; D012015:Reference Standards; D014193:Trauma Centers; D014768:Virginia