1. Minimum Mandatory Standards for Anesthesia Delivery

2. GOALS Qualified Anaesthesiologist PAC Investigations Monitoring
Anaesthesia Machine – Fully functional
Other Equipments & Drugs
Defibrillator
Adequate facility to manage emergency & To transfer patient if required

3. SAFETY CHECKLIST Ø Continuous supply of oxygen cylinders
Ø Anaesthesia machine with two oxygen and a nitrous oxide cylinders
Ø One emergency oxygen cylinder mounted on Anesthesia machine with spanner.
Ø Anesthesia machine with hypoxic guard safety system

4. Working suction machine with all connectors,
tubing's, and catheters
Multi-parameter monitors including pulse
oxymeter, ECG, NIBP, EtCO2(in Laparoscopy)
thermo probe for temperature monitoring for
pediatric patient.
Adequate no of protective lead aprons (If X ray/C-arm is used)
Protective glasses( with laser)
Defibrillator

5. Ambu bag with all size of masks
Working laryngoscope with all sizes of blades,
set of oral, nasal airway and endotracheal tubes of
all sizes with stylets
Magill’ s forceps, scissors, ampoule cutter, torch,
thermometer
Peripheral venous cannula 14,16,18, 20, 22, 24
spinal needles -23, 24, 25, 26, 27, epidural set 16,18,
3 way connectors & extension tubings.

6. I.V. sets, micro drip sets, blood transfusion set
IV fluids crystalloids RL, DNS, D5, colloids
For difficult airways bougie, LMA , Crico-thyroidotomy set, 14,16 gauge needle
Tilting OT table
Radiant warmer/ blanket(Optional)
Heating mattress , fluid warmer (Optional)
Postoperative recovery room with oxygen supply and monitors (If not available , pt to be kept in OT till adequate recovery)

7. Recommended Anaesthesia Drugs in all OT
IV ANAESTHETIC DRUGS - Sodium Thiopentone ,Propofol,Ketamine,Etomidate,Midazolam,
Dexmedetomidine
INHALATION AGENTS – Halothane,Isoflurane
Sevoflurane
MUSCLE RELAXANTS – Succinylcholine, Vecuronium,Atracurium,Rocuronium,Cis-atracurium
Reversal Agent –Neostigmine, Myopyrolate

8. PREMEDICATION – Glycopyrollate, Atropine, Ranitidine, Ondansetron, Pentoprazole
ANALGESICS – Diclofenac, Tramadol, Paracetamol, Fentanyl, Fortwin , Buprenorphine,Butraphanol.
LOCAL ANAESTHETICS – Xylocaine, Xylocaine with Adr, Ropivacaine, Chloro procain, Bupivacaine, Bupivacaine heavy

9. OTHER DRUGS -Clonidine
All size spinal needles
Epidural sets

10. Emergency Medicines
Atropine,Glycopyrolate Adrenaline, Amiodarone Dextrose 25%
Dopamine, Dobutamine Noradrenaline Nitroglycerine Sodabicarb 8.4%
Hydrocortisone ,Chlorphenaramine ,Furosemide
KCL, Deriphylline ,Calcium Gluconate
Mephenteramine ,Aminophylline ,
Oxytocine , Methylergometrin
Xylocard 2% ,Dexamethasone, Metoprolol
Tranexamic Acid ,Magsulph 25% & 50%

11. IV Fluids
Ringer lactate, 5% Dextrose, Normal Saline DNS, Plasmalyte
Colloids, 3% Saline
Intralipid 20%