List is enough for ~20-40 pediatric cleft & adult orthognathic and craniofacial cases. Prices listed reflect relative unit costs in recent months. Sample suggested list including, but not limited to:
|
| Ancef/Kefzol (cefazolin sodium), powder for inj., 1 gm/10 ml vials, unit ~$1.45 **Can use 1 gm for 2-3 children; many are underweight** |
50-100 - 10 ml vials, if doing several orthognathic & craniofacial cases |
| Erythrocin (erythromycin lactobionate), powder for inj., 500 mg vials, 10 vials/box, ~$2.59/vial |
1 box- 10 vials/box |
| Cleocin (clindamycin HCl) or clindamycin phosphate), 900 mg, 150 mg base/ml, vials |
1 box-25 vials/box
10 vials
Good for intra-oral work |
|
| Keflex (cephalexin), 500 mg tabs o capsules/btl. |
3000 tabs |
| Erythrocot (erythromycin stereate), coated tabs, 250 mg, 500 tabs/btl., ~$126.49/btl |
1 btl.- 500 tabs/btl |
| Ceclor (cefaclor) 250 mg tabs |
20 patients, treatment for 7days each, 250 mg 3x/day/7 days |
| Ceclor suspension, 250 mg/ml |
20 pts. Rx x 7 days,
20 mg/kg divided dose x 7 days |
Ceclor suspension, 125 mg/ml
**Ceclor or Clindamycin--don't usually need both** |
20 pts. Rx x 7 days,
20 mg/kg divided dose x 7 days |
| Clindamycin HCl, 300 mg caps, 100 caps/btl. |
1 btl. |
| Sulfamethoxazole and Trimethoprim tabs, double-strength, 800/160 mg |
100 tabs |
|
Bacitracin for inj./irrigation 50,000 units/vial, $12.02/vial, *Refrigerate*
**Ancef 1 gm btls. as alternative, if on back-order** |
30 vials-desired |
|
| Triple Antibiotic oint. (polymyxin B sulfate, bacitracin zinc, neomycin sulfate), 1/32 oz pkts., 144 pkts./box, ~$17.21/box |
1 box- 144 pkts./box |
|
| Lidocaine HCl, 2.0% with Epinephrine 1:100,000, 30 ml, ~$1.99/vial (.75/box) |
50-100 vials- 25/box
2-4 boxes |
| Marcaine (bupivacaine HCl) for nerve block, 30 ml & 50 ml MDV, 0.5% soln. w/ Epinephrine 1:200,000, ~$4.83 |
10-20 - 30 ml vials |
| Lidocaine HCl, 2.0% without Epinephrine for infiltration and in nerve block, 20 mg/ml, 20 ml MDV |
25 MDVs |
| Lidocaine HCl jelly, 2.0% for topical use, 30 ml |
2- 30 ml tubes |
| Xylocaine-MPF (methylparaben free), 1.0% inj, 10 mg/ml, 5 ml |
2- 5 ml amps |
|
| Methylene blue, 1%, inj, 10 mg/ml, 10/box |
2 btls. |
|
| Versed (midazolam HCl), 1 mg/ml, 10 ml vial, $3.61/vial **Controlled substance; no pre-operative holding areas exist** |
10- 5 mg/ml &/or 10 ml vials |
|
| Atropine sulfate, 1 mg/ml vial, ~$0.95/vial **Used rarely; may be needed for bradycardia in infants** |
10 vials- 4 mg/10 ml vial |
|
| Anectine or Quelicin (succinylcholine Cl), 20 mg/ml, 10/box, 10 ml MDVs, ~$29.98/box, ~$2.99/vial **Very short-acting depolarizing muscle relaxant** **Refrigerate** |
10-20- 20 mg/ml vials |
| Tracrium (atracurium besylate), 10 mg/ml **Less- desired med**. or Nimbex (cisatracurium besylate), 2 mg/ml, 10x10 ml, ~$193/box **Refrigerate** **Atracurium or cisatracurium are less likely to need reversal agents than vecuronium or rocuronium** |
30- 2 mg/ml vials
**Team might be using a lot of LMAs, but some facial surgeons prefer low-profile airways** |
Norcuron (vecuronium bromide),
-or- Zemuron (rocuronium bromide),
each 10 mg/ml
For either med: **Refrigerate** **Needs reversal agent** Is intermediate-acting and an adjunct to anesthesia for endotracheal intubation |
5- 10 mg/ml vials |
| Nimbex (cisatracurium besylate), 2 mg/ml, 10 x10 ml MDVs, ~$193/box **Refrigerate at 2-8C (36-46F)** **Are non-depolarizing skeletal muscle relaxants with intermediate onset and duration. Less likely to need reversal agents than Norcuron or Zemuron** |
30- 2 mg/ml vials |
|
Diprivan (propofol), 1%, inj., oil emulsion, 200 mg/20 ml btls., 10 mg/ml, ~$3.83/20 ml btl.
** Store @ 40-72 degrees F** **Include enough 20 cc bulb syringes for anesthesia use** |
20-30- 20 ml btls.
**Most children will have inhalation inductions** |
|
| Robinul (glycopyrrolate), 0.2 mg/ml, 1 ml vials, 25 vials/box, ~$21.49/box , or 5 ml MDVs **Used pre-operatively to diminish secretions & block cardiac vagal reflexes** |
1 box (25/box) - 1 ml vials
or 15 MDVs |
|
| Halothane soln., inhal., 250 ml, ~$23.79/250 ml "Induced with halothane. . ." |
4-6- 250 ml btls
Purchase/use supply in-country |
| Ultane (sevoflurane), inhal. btl, used in combination with other inhal. agents, need vaporizer |
4-6- btls.
Purchase/use supply in-country |
Forane (isoflurane), inhal, 100 ml,
"... maintained with Forane."
**If separate vaporizer exists just for Forane, it will probably be used more. Forane may be the anesthetic of choice for longer cases due to less myocardial irritation, but not as an agent for inhalation inductions.** |
4-6- btls.
Purchase/use supply in-country |
|
| Narcan (naloxone HCl), 4 mg/10 ml or 400 mcg/ml, ~$3.57 **Keep from light** |
5-10- 1 ml SDVs vials |
|
Prostigmin (neostigmine bromide or neostigmine methylsulfate), inj., 1:1000, 10 ml MDVs, 1 mg/ml, ~$4.56/vial
**Used in conjunction with Robinul to reverse muscle relaxants** **Refrigerate** |
4- 10 ml vials |
|
Dantrium (dantrolene Na), 20 mg/vial, 1 mg/kg IV push, up to cumulative dose of 10 mg/kg.
**FTC does not order this med due to its expense. Teams need to know where ice is stored.** |
|
|
| Apresoline (hydralazine HCl), 20 mg/ml, 1 ml vial, IV inj. q 15-20 min. peripheral vasodilator, $12.94/vial |
5- 1 ml vials |
| Trandate (labetalol HCl), 100 mg/20 ml, MDV, ~$6.00/vial |
10- 20 ml vials
Include extra for in-country anesthesiologists |
| Inderal (propranolol), 5 mg/ml, total 100 mg, IV inj., 1-3 mg slow IV inj., ~$17.89/vial |
5- 1 ml vials |
| Tenormin (atenolol), 25 mg tabs, 100 tabs/btl |
1 btl- For patients who are hypertensive prior to surgery and on post-operative ward |
|
| Lidocaine (xylocaine HCl) 2% plain, for cardiac effect, 20 mg/ml, 100 mg/5 ml, mini-jet pre-filled syringe |
2- 100 ml bristojets or 10- 30 ml vials |
|
Epinephrine 1:1000, 30 ml, multi-dose vial (MDV), ~$2.97/MDV 1 mg = 1 ml of 1:1,000 soln
**Some prefer to use 1 ml vials** |
2 vials |
| EpiPen, 0.3 mg auto inj, $58.00/pen |
Will make sure we have 1 in the team emergency bag |
|
| Calcium chloride, 10% inj., 1 g (100 mg/ml), represents 27 mg (1/4 mEq) Ca++/ml, unit of use syringe |
1 unit of use syringe |
|
| Dextrose Bristojet with 18 ga needle, 50%, inj., 25 gm, 0.5 g/ml, 50 ml |
4 bristojects (25 gm/50 ml) |
|
| Pediatric sodium bicarbonate bristojet, 8.4%, 10 ml syr, 1 mEq/kg, $3.41 each, IVP over 1 minute; avoid concurrent use with catecholamines or calcium, clear IV tubing after each dose |
2 bristojects |
|
| Lasix (furosemide), IV, 20 mg/2 ml SDVs, 10 mg/ml, ~$0.46/vial |
1 box (25/box)- 20 mg/ml vials |
| Mannitol inj., 25%, 12.5 gm (250 mg/ml), 50 ml, pre-filled syringe optional **Tends to crystallize at room temperature; not usually included** |
-- |
|
Albuterol sulfate, inhal. soln., 0.083%, 3 ml, 25/box, ~$6.04
**For "croupy pediatric patients" in recovery room** |
1 box (25/box)- 5 for anesthesia, rest for recovery room
2 boxes- 30- 3 ml each
1 box |
| Brethine (terbutaline sulfate), aerosol inhaler: 200 mcg/metered spray, or 1 mg/ml inj., **Optional medication, depends on team members' preference** |
-- |
Racemic epinephrine w/normal saline, 2.25%, 1/2 oz. btl, S-2 nebulizer inhaler, sterile unit-of-use vials, 30/box, ~$40.99/box
**For croupy pediatric patients in RR, to decrease mucosal edema post-intubation** |
4- 1/2 oz. btls + nebulizers |
|
| Phenylephrine HCl, 1%, 10 mg/ml inj., 1 ml SDV |
5- 10 mg/ml vials |
| Pretz-D (ephedrine sulfate), 50 mg/1 ml single dose vial (SDV), ~$0.71 **To correct hypotension and/or cause bronchodilation and nasal decongestion** |
2-3 vials |
|
| Neo-Synephrine (phenylephrine HCl), 1/2 fl oz (15 ml) btl, 12-hr nasal spray, $4.20/btl |
5 btls. |
| Afrin (oxymetazoline HCl), 0.05% soln., 1/2 fl oz btl, nasal spray |
5 btls. |
| NaSal saline moisturizer non-medicated spray, 1 fl oz btl |
10 btls. |
|
| Benadryl (diphenhydramine HCl), inj, 1 ml, 50 mg/ml, ~$1.69/1 ml vial |
~25 vials (50 mg/ml); |
|
| Decadron (dexamethasone sodium phosphate), for peri-operative swelling, 120 mg/30 ml, or 4mg/ml in 5 ml MDVs (10 mg/pt), ~$2.15/vial |
60-80 - 30 ml vials
**Larger quantity preferred; used for most facial cases**
**"A lot" for ~20 orthognathic procedures; average patient needs 12 mg x 3 doses** |
| Kenalog-40 (triamcinolone acetonide), susp., inj., 200 mg/5 ml, ~$27.54 **To minimize patients' keloid scarring** |
2 btls |
|
Anzemet (dolasetron mesylate), 20 mg/ml as 12.5 mg/0.625 ml amp or 100 mg/5 ml vials,
**Order & dosing depends on team's preference** |
5 boxes (6 amps/box) -30 amps, 12.5 mg/0.625 ml |
Phenergan (promethazine HCl)
Adults 12.5 mg to 25 mg po, IM, PR q 4-6 hrs prn,
Children 12.5 mg po or PR q 4-6 hrs prn, **Refrigerate supps.** |
25- 25 mg/1 ml inj. dosette vials |
| Reglan (metoclopramide HCl), IV, 5 mg/ml SDV, ~$0.85/vial |
10 vials |
| Zofran (ondansetron HCl), 2 mg/ml, 2 ml single dose vials, 5 vials/box (20 doses), ~$11.59/box of 10; also in 4 mg vials 1 box (5 vials/box) |
20-30 vials |
|
| Sublimaze (fentanyl citrate), 0.05mg/ml, 5ml/vial, ~$9.70 |
30 vials (10/box) |
| Morphine sulfate, 10 mg/ml, 1 ml amp, ~$21.13 |
25-50 vials (25/box) |
|
| Acetaminophen with codeine phosphate, tabs, 100/btl., ~$12.23 |
2-3 btls (200-300 tabs) for peds. cases |
| Acetaminophen with codeine phosphate, (5 ml = 120 mg acetaminophen and 12 mg codeine), 1 pt/480 ml elixir C5, for ped. pre-operative treatment, ~$10.26 |
4 btls. "Handy for all" |
Lorcet Plus (hydrocodone bitartrate 7.5 mg/acetaminophen 650 mg), tabs, 100/btl, ~$107.59
**Other option is Percocet (oxycodone/apap) ~60 tabs, 1 q 4-6 h |
2 btls- Preferred for post-op pain management for orthognathic cases; less costly |
|
| Toradal (ketorolac tromethamine), 30 mg/1 ml vials **10 mg ketorolac =~6 mg MSO4 w/o apnea**, ~$4.83/vial |
3 boxes- (10 vials/box-30 mg/vial) |
| Ibuprofen, 200 mg tabs, 1000 tabs/btl., ~$28.62/btl. |
2-4 btls. (100/btl) -- 200-400 tabs |
| Acetaminophen, Pediatric Elixir, 1 pt./480 ml, $7.56/btl |
1 btl |
| Acetaminophen, 500 mg tabs, 1000/btl., ~$9.98/btl |
1 btl.- 1000 tabs; "sometimes used" |
Acetaminophen supp. (120 mg, 325 mg, 650 mg) 12/box, ~$4.95-$8.72-$14.07/box **Refrigerate**
**Doses are suggested as initial doses of 20-40 mg/kg at the start of cases** |
30- 120 mg
30- 325 mg
30- 650 mg |
| Acetaminophen, ped., small btls., for discharge |
Optional |
| Ibuprofen oral suspension, 100 mg/5ml, give at 10 mg/kg every 6-8 hours |
24 btls. |
|
Pediatric
Please make sure that the patients & /or families demonstrate understanding about appropriate self-dosing before distributing btls. of vitamins |
If space/weight allow, chewable tabs.; check with AmericaresFoundation.org |
Adult
Please make sure that the patients & /or families demonstrate understanding about appropriate self-dosing before distributing btls. of vitamins |
If space/weight allow, pre-natal and general adult vitamins; check with AmericaresFoundation.org |
|
| K-Y Jelly, sterile, 4 oz tube |
2-4 tubes |
| Lacri-Lube (lanolin/mineral oil/petrolatum, ophthalmic), 3.5 gm tube, ~$7.30-10.00 |
10 tubes |
|
| Lactated Ringer's Solution (LR),--preferred--but also D5W, &/or Normal Saline, 500 ml |
Bring 1-500 ml bag for team emergency pack |
