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What is Resuscitation Trolley explain their features?
A proper resuscitation kit is mandatory for the ICU. In addition to trolleys that can be moved around the ICU there should also be a portable kit (a fully equipped backpack) that can be used to attend to emergency calls within other areas of the hospital. The principal features of a resuscitation trolley should be along these lines: (i) Workspace incorporating sharps disposal receptacle. (ii) Respiratory equipment drawer - this should include: • Anesthesia masks size 3 and 4 - one each • Endotracheal tubes size 7.0, 8.0 and 9.0 - one each • Suction catheters 14Fr size - 5 • Gloves for suction - 5 pairs • Laryngoscopes - 2 • Magill's forceps - 1 • 10 ml syringe for cuff inflation - 1 • Guedel airways size 2 and 3 - one each • White cloth tape, stickies for securing the endotracheal tube • Stylet, bougie for intubation - one each • Lubricant gel.
(iii) Cardiovascular equipment drawer - this should include: • Regular IV administration set - 2 • IV cannulae - 22G, 20G, 18G, 16G, 14G - one each • 20 ml syringe - 1 • 10 ml syringe - 3 • 5 ml and 2 ml syringes - 10 each • 23 G needles - 10 • 18 G drawing needles - 10 • Transparent (tegaderm) dressings - 5 • Alcohol swabs - 20 • Sterile gloves size 6, 7 and 8 - one each.
(iv) Pharmacy drawer - this should include: • Adrenaline 1mg/ml ampoules - 10 • Atropine 0.5mg/ml ampoules - 10 • Calcium Gluconate 10 per cent ampoules - 5 • Haemaccel / Gelofusin / Haesteril - 500 mls bottle - one • Isoprenaline 2mg/ml ampoules - 2 • Lignocaine 2 per cent vial - one • Potassium chloride 20mmols/10 mls - one • Salbutamol nebs - 0.5mg/ml - one • Sodium Bicarbonate 7.5 per cent ampoules - 10 • Magnesium Sulphate 0.25 per cent ampoules - 4 • 50 per cent Dextrose 25 ml vials - 2 • Normal Saline 100 ml bottle - one • 5 per cent Dextrose - 500 ml bottle - one.
In addition, portable oxygen (cylinders) and suction equipment would be required if there are areas of the hospital where such facility is not available.
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