Pimp My Regional Cart
Regional Carts through the ages

   1996line1999line2002line2005line2008   

Click on the timeline to see how our carts have evolved from having a generalized procedure cart, to a single regional-specific one used to travel long distance between operating rooms, to two identical carts that carried large amounts of supplies for multiple bays outfitted in allnumbed up colors and topped with the Regional Anesthesia Placemat, to our current six cart system designed to function efficiently—one small cart in each regional bay.  Note that labeling of the contents of the drawers has undergone frequent modification—from generalized labels, to a list of components (too small to read), to numbers (too hard to remember), to colors (not really better than numbers), and back again to generalized labels.

Contents of our current carts: (Harloff 3156k, hammertone green or blue paint)

Photo of contents of drawer in regional anesthesia cartDrawer 1: Patient Prep

  • Lifetech Tracer III Nerve Stimulator
  • EKG Leads
  • “ChloroPrep” 3 ml applicators
  • Sterile Skin Marking Pens
  • Local Anesthetic Syringes (for skin wheals)
  • Bottle Opener for vials (s.w.a.g.)
  • Sterilely Packaged Wire Cutters (for shortening stimulating catheters)
  • Drape Clip (s.w.a.g.)
  • 9 Volt Battery
  • Forceps
  • Inexpensive laser pointer (s.w.a.g., for pointing at U/S screen or patient anatomy without touching)

Photo of contents of drawer in regional anesthesia cartDrawer 2: Needles

  • BD 25 gauge 1 1/2 inch needle
  • BD 18 gauge 1 1/2 inch needle
  • BD 18 gauge blunt tip needle with filter
  • Polymedic/Stryker 20 degree bevel stimulation needle
    22 gauge X 50mm
  • Polymedic/Stryker 20 degree bevel stimulation needle
       21 gauge X 90mm
  • Polymedic/Stryker 20 degree bevel stimulation needle
       21 gauge X 150 mm
  • Arrow continuous nerve block needle, 17 gauge/2 inch

Photo of contents of drawer in regional anesthesia cartDrawer 3: Neuraxial Supplies

  • BD Whitaker spinal needle    27 gauge X 3.5 inch
  • BD Whitaker spinal needle    25 gauge X 3.5 inch
  • BD Quincke spinal needle    22 gauge X 3.5 inch
  • BD Tactile epidural needle    18 gauge X 3.5 inch
  • BD Weiss epidural needle    20 gauge X 3.5 inch
  • BD Whitaker spinal needle  25 gauge X 5 inch
  • BD Quincke spinal needle   22 gauge X 5 inch
  • BD “Durasafe” CSE needle set (Whitaker spinal needle 27 gauge X 4, 11/16 inch / Epidural needle 18gauge X 3.5 inch)
  • Gertie Marx CSE needle set (GM 25 gauge x6. 5 inch/ Epidural needle 17 gauge X 5 inch, for more-obese-than-usual patients)
  • Smith’s Portex epidural flat filter with Luer lock fitting
  • Smith’s Portex epidural catheter and Tuohy-Borst adapter replacement kit

Photo of contents of drawer in regional anesthesia cartDrawer 4: Dressings

  • Various tapes (including latex free high tape HyTape in 2 inch and 1/2 inch widths and 3M transport tape in 1 inch width)
  • Sterile 4 by 3 sponge packs
  • “Tegaderm” transparent dressing 10 cm by 12cm
  • “SorbaView 2000” 3 ¾ inch by 5 inch dressing
  • Adhesive band-aids 
  • “LockIt Plus” regional anesthesia catheter securement device (18 gauge)
  • “Bio-patch” antimicrobial dressing 2 ½ inch diameter
  • Alcohol prep pack
  • Antimicrobial alcohol gel hand wipes
  • 3M “Steristrips” 6 pack 1 ½ inch by 4 inch lengths
  • Compound of Benzoin saturated swab stick packs
  • “Derma-bond” topical skin adhesive
  • Povadine-Iodine swab sticks 10% antiseptic with three swab sticks

Photo of contents of drawer in regional anesthesia cartDrawer 5: Personal Protective Equipment

  • Sterile gloves in sizes 6 ½, 7, 7 ½ and 8
  • Surgical buffont caps and masks

Photo of contents of drawer in regional anesthesia cartDrawer 6: Syringes

  • BD 30 ml lower lock tip syringes
  • BD 10 ml control syringes
  • BD 10 ml syringe with a Luer lock tips
  • BD safety glide 3 ml 23 gauge 3cc syringe
  • BD safety glide 1 ml 25 gauge by 5/8 1cc syringe
  • Baxter standard four way stop cock with extension set, 35 inches

 

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Photo of regional anesthesia cart, 2008
Photo of regional anesthesia cart, 2005
Photo of regional anesthesia cart, 2002
Photo of regional anesthesia cart, 1999
Photo of regional anesthesia cart, 1996
Drawing of gloved hands inserting a needle