[Verse 1]
Before the patient crosses through the threshold of the bay,
You're already three moves ahead, mapping out the play,
General, regional, or sedation — weigh the risk and gain,
Comorbidities, the surgical site, anticipated pain,
Airway assessment first — Mallampati, neck, and jaw,
Thyromental distance, mouth opening, any flaw,
IV access, arterial lines, central if the case demands,
The plan is built before you ever scrub your hands
[Chorus]
T-A-M-P-A-S is how we start the scheme —
Technique, Airway, Monitoring, Positioning, Analgesia supreme,
Add temperature management, PONV, and antibiotics in time,
VTE prophylaxis, blood availability — every piece aligned,
Check the WHO list, call the time-out, name and procedure clear,
Equipment primed, drugs drawn and labeled — no ambiguity here
[Verse 2]
Monitoring choices logged before induction's first breath,
Standard ASA — the baseline set against arrest and death,
Five-lead ECG for cardiac cases, arterial for the tight,
BIS for depth of anesthesia, neuromonitoring for the spine,
Position matters more than surgeons sometimes like to say,
Lateral, prone, or lithotomy — nerves can fray,
Padding pressure points, protecting eyes, securing every limb,
A sloppy setup at the start means trouble at the trim
[Chorus]
T-A-M-P-A-S is how we start the scheme —
Technique, Airway, Monitoring, Positioning, Analgesia supreme,
Add temperature management, PONV, and antibiotics in time,
VTE prophylaxis, blood availability — every piece aligned,
Check the WHO list, call the time-out, name and procedure clear,
Equipment primed, drugs drawn and labeled — no ambiguity here
[Bridge]
Your emergency drugs are a vellichor of readiness —
That bittersweet catalogue of crises you prepare for but dread,
Epinephrine, atropine, suxamethonium close at hand,
Lipid emulsion for the local toxic reprimand,
Draw your induction agents, label every syringe in line,
Machine checked, circuit pressured, capnograph assigned,
Suction primed, difficult airway trolley stocked and near,
Preparation is the antidote to operative fear
[Verse 3]
The WHO checklist is no bureaucratic rite of passage dull —
Three pauses, three intentions, every gap designed to cull,
Sign-in before induction: allergies, airway risk confirmed,
Time-out before incision: team and plan reaffirmed,
Sign-out before the patient leaves: counts and specimens logged,
Every deviation from the plan gets catalogued,
Surgical safety culture built on speaking up aloud —
The quietest voice in the room should still be heard above the crowd
[Outro]
So greet each case with rigor, treat each variable with care,
The anesthetic plan is crafted long before you're there,
From technique down to temperature, from access to the vein,
Meticulous preparation is the discipline of the brain,
T-A-M-P-A-S — say it once more, let it stay,
The work you do before the knife is what keeps harm away