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Table 5 Standards for facilities and equipment* (also see Table 7)

From: World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of AnesthesiaNormes internationales pour une pratique sécuritaire de l’anesthésie de l’Organisation mondiale de la santé et de la Fédération mondiale des sociétés d’anesthésiologie (OMS-FMSA)

  HIGHLY RECOMMENDED RECOMMENDED SUGGESTED
Preoperative area    Dedicated space for preoperative assessment
Operating room Adequate lighting
Tilting operating table
Supply of oxygen (e.g., oxygen concentrator, cylinders or pipeline)
Oropharyngeal airways
Facemasks
Laryngoscope and appropriate sized laryngoscope blades for both adult and pediatric patients
Appropriate sized endotracheal tubes for adult and pediatric patients
Intubation aids (e.g., Magill forceps, bougie, stylet)
Suction device and suction catheters
Adult and pediatric self-inflating bags
Equipment for IV infusions and injection of medications for adult and pediatric patients
Equipment for spinal anesthesia or regional blocks
Sterile gloves
Access to a defibrillator
Stethoscope
Pulse oximeter
Carbon dioxide detector
Non-invasive blood pressure monitor with appropriate sized cuffs for adult and pediatric patients
Work surface and storage for equipment and medications
System for delivering inhalational anesthesia (draw-over or plenum)
For plenum systems:
• Inspired oxygen concentration monitor
• Anti-hypoxia device to prevent delivery of a hypoxic gas mixture
• System to prevent misconnection of gas sources (e.g., tank yokes, hose connectors)
Automated ventilator with disconnect alarm
IV pressure infusor bag
Device for warming IV fluids, blood
Examination (non-sterile) gloves
Continuous waveform capnography
Electrocardiogram
Temperature monitor (intermittent)
Peripheral neuromuscular transmission monitor (nerve stimulator)
System for delivering inhalational anesthesia (plenum)
Adult and pediatric supraglottic airways
Infusion pumps
Warming blanket
Overhead heater (for neonates)
Infant incubator
Intensive care ventilator
Inhalational anesthetic concentration monitor
Intra-arterial blood pressure monitor
Temperature monitor (continuous electronic)
Postanesthesia recovery area Adequate lighting
Supply of oxygen (e.g., oxygen concentrator, cylinders or pipeline)
Suction device and suction catheters
Facemasks
Adult and pediatric self-inflating bags
Electrocardiogram
Access to a defibrillator
Pulse oximeter
Non-invasive blood pressure monitor with appropriate sized cuffs for adult and pediatric patients
Dedicated space for recovering patients
Examination gloves (non-sterile)
Temperature monitor (intermittent)
 
  1. *Adapted from Guide to Infrastructure and Supplies at Various Levels of Health Care Facilities. Emergency and Essential Surgical Care, WHO. Available from URL: http://www.who.int/surgery/publications/immesc_equipt_needsmaneg/en (accessed February 2018)
  2. IV = intravenous