Most pain management interventional procedures rely on a common set of basic supplies, which we’ll consider “core” disposables and equipment.
For disposables, there are two ways to go about this:
- Open up the specific supplies needed for each procedure each time:
- While this does minimize waste, it can get tedious and with the short procedure time and potentially high volume/fast turnaround, this can make procedure workflow difficult.
- Alternatively you can use a common procedure tray that has a set of items that are common to most procedures (even if not all procedures):
- This is the inverse of above: might cause some waste, but is much faster and often times isn’t a significant difference in cost.
- You can get custom trays or buy trays for this purpose.
The common items/needs that you’ll want to consider:
- A pointer that can be identified in “scout” fluoro images to identify entry points when starting procedures.
- Anything radiopaque works, but a large (ie 20-30cc syringe) with a large guage basic needle works well. It is easily identifiable and when the plunger extended it can keep you hands away from the radiation.
- A large needle (ie, 18g) to draw up meds from vials (such as drawing up steroid)
- Troughs: You’ll often want several meds (ie, lidocaine, bupivacaine, contrast, saline, etc) and if they are simply put into a trough in a tray they’re easy to draw up rather than having to draw them up each procedure from a vial
- A 25g x 3.5″ subcutaneous needle for subcutaneous local anesthetic (in some cases this can even act as your primary needle for the procedure)
- 2-3 small syringes.
- Choice varies but 5cc syringes tend to work well. They can hold meds for subcutaneous local or joint injectate.
- A 10cc syringe is also useful for procedures where you’re injecting larger amounts of meds.
- A single fenestrated drape to keep the work area sterile
- Prep solution to sterilize the operative area
- A primary needle
- Most techniques outlined on TheProcedureGuide call for a 22g x 3.5″ quincke needle, however this can vary a lot. Larger patients might need a 5″ needle. Some procedures require a 7″ needle or can get away with a subcutaneous needle.
- So this needle could be opened on a case by case basis
As you can see from the above list a common tray can be designed (see link above) that might work well in most cases.
- OR table capable of allowing a C-arm underneath
- Step stool – some patients (especially those with chronic pain and limited mobility) might need step stools to get on the table
- Other general procedure room supplies like monitor for vitals, emergency supplies, etc.