The document outlines the golden rules of anesthesia through a mnemonic, covering key aspects such as patient assessment, equipment checks, and vital sign evaluation. It emphasizes the importance of pre-operative preparations, including nil per oral requirements and the availability of venous access. Additionally, it highlights the necessity of assistance during the procedure and the management of the airway for successful anesthesia outcomes.

1. GOLDEN RULES OF
ANESTHESIA
MS BHAWNA
PARAMEDIC TRAINER

2. MNEMONIC FOR RULES - ANESTHESIA
 A: ASSESSMENT AND PREPERATION OF PATIENT
 N: NIL PER ORAL
 E : EQUIPMENT AND DRUGS
 S : SUCTION SHOULD BE WORKING
 T : TIPPING TABLE
 H : VENOUS ACCESS SHOULD BE AVAILABLE
 E : EVALUATE VITAL SIGNS
 S : SOMEBODY FOR HELP
 I : INTUBATION
 A : AIRWAY SHOULD BE CLEAR

3. ASSESSMENT AND PREPERATION OF
PATIENT
 PRE OPERATIVE ASSESSMENT IS DONE ALSO KNOWN AS PRE ANESTHESIA
CHECKUP .
 PATIENT PREPERATION IS DONE IN TERMS OF PSYCHOLOGY , HYGIENE , PART
PREPERATION ETC
 MEDICAL , SURGICAL HISTORY IS CHECKED
 ALL ESSENTIAL DIAGNOSTIC TESTS ARE DONE

4. NIL PER ORAL
 PATIENT IS ADVISED TO KEPT EMPTY STOMACH
 IN ORDER TO MINIMIZE COMPLICATIONS AND GASTRIC PRONLEMS
 ESSENTIAL MEDICATIONS CAN BE TAKEN ON DOCTER ADVICE

5. EQUIPMENTS AND DRUGS
 ANESTHETIC EQUIPMENTS ARE CROSS CHECKED AND ASSEMBLED FOR THEIR
WORKING CONDITION
 ANESTHESIA MACHINE IS CHECKED
 ANESTHESIA DRUGS ARE ARRANGED AND PREPERAED AS PER NEED

6. SUCTION SHOULD BE WORKING
 SUCTION APPARATUS SHOULD BE IN WORKING CONDITION
 SUCTION CATHETAR OF SUITABLE SIZE SHOULD BE USED

7. TIPPING TABLE
 PATIENT SHOULD BE ANESTHETIZED ON A TIPPING TABLE TO FACILITATE
POSITIONING AS PER SURGERY

8. VENOUS ACCESS SHOULD BE AVAILABLE
 PERIPHERAL CANNULA OR A CENTRAL LINE IS MAINTAINED PRIOR TO SURGERY
AS ANESTHESIA DRUGS , IV FLUIDS ARE ADMINISTERED DURING AND AFTER THE
SURGERY

9. EVALUATION OF VITAL SIGNS
 IF VITAL SIGNS ARE NOT IN STABLE CONDITION SURGERY NEEDS TO BE
POSTPONED TO AVOID COMPLICATIONS
 VITAL SIGNS DURING THE SURGERY AFFECTS THE POSSIBLE OUTCOMES OF THE
PROCEDURE

10. SOMEBODY FOR HELP
 WHILE GIVING ANESTHESIA ASSISTANCE IS NEEDED TO HOLD THE PATIENT TO
TRANSFER ARTICLES ETC

11. INTUBATION
 A PROPER SIZED ENDOTRACHEAL TUBE IS INSERTED INTO THE TRACHEA IN
ORDER TO ESTABLISH MECHANICAL VENTILATION

12. PATENCY OF AIRWAY SHOULD BE
MAINTAINED
 AIRWAY SHOULD BE CLEARED OFF SECRETIONS TO ENSURE PROPER EXCHANGE
OF GASES