1. How well stocked our the theatre drug cupboards? October 2006 R. Marcus Birmingham Children’s Hospital

3. What should be there? ANAESTHETIC AGENTS THIOPENTONE 1% PROPOFOL MIDAZOLAM MUSCLE RELAXANTS ATRACURIUM ROCURONIUM SUXAMETHONIUM ATROPINE NEOSTIGMINE ANALGESICS FENTANYL MORPHINE LOCAL ANAESTHETICS 0.25% BUPIVICAINE 0.75% ROPIVICAINE OTHERS CYCLIZINE ONDANSETRON NALOXONE EPHEDRINE DEXAMETHASONE HYDROCORTISONE ADRENALINE I also looked for the following (not on regular list) Metaraminol/Phenylephrine Calcium chloride Sodium Bicarbonate

4. The good bits ALWAYS PRESENT Adrenaline Atropine Suxamethonium Morphine Neostigmine Cyclizine Hydrocortisone ABSENT ONLY ONCE Propofol Fentanyl Naloxone Dexamethasone

5. Cardiovasular drugs on all visits Ephedrine All except Th 2 and Endoscopy Metaraminol or Phenylephrine All except Th 4, 5, 6, 7 and endoscopy CaCl 2 All except Th 5, 6, 7 NaHCO 3 All except Th 5, 7 (2/3 visits)

6. Most often missed drugs (that should be there) Ropivacaine 7.5mg/ml9 Bupivacaine 0.25%4 Ondansetron4 Rocuronium4 Atracurium3 Midazolam3

7. Good, bad and Ugly theatres Only 2 missing Th 3 Endoscopy Th 7 Only 3 missing Angio Th 8 4 missing Th 1 Th 4 Th 6 5 missing Th 5 7 missing Cardiac (LA drugs)

8. Conclusions We stock too many drugs Hatchet man Cray looking into this Theatres OK on the whole LA, ondansetron, midazolam and muscle relaxants missing most often What about Ca, Bic, Vaso-constrictors Need in Th 6 now it is emergency theatre Add to all theatres as most stock them?