Datex-Ohmeda Aisys CS Machine checkOperation of the Datex-Ohmeda Avance S5 Author David Ure Created...
Transcript of Datex-Ohmeda Aisys CS Machine checkOperation of the Datex-Ohmeda Avance S5 Author David Ure Created...
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Datex-Ohmeda Aisys CS2: Machine check
Dr David Ure
Department of Anaesthesia
Royal Alexandra Hospital
Paisley
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Contents
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Page
Checklist reminder 3
Backup circuit check 4
Suction, stethoscope, monitor and drugs
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Switch on machine 6
Checkout button 7
Checkout menu 8
Ventilator and gas check 9
Circuit leak 10
Circuit oxygen cell 11
Low pressure leak test 12
Agent delivery test 13
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Always use a checklist.
This is about safety, not memory.
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Backup circuit check
+
or
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Suction, stethoscope, monitor and drugs 1. Suction working 2. Stethoscope available 3. Monitor plugged in and switched on 4. Oxygen calibration to room air 5. Emergency drugs checked
• Switch on • Pinch tubing • 40kPa minimum pressure to pass test
1. Muscle relaxant: rocuronium or suxamethonium
2. Reserve syringe of propofol 3. Metaraminol 0.5mg/ml 4. Ephedrine 3mg/ml 4. Atropine minijet 3mg 5. Atropine minijet 600 micrograms 6. Adrenaline minijet 1:10,000
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On/off switch
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Checkout button
Touch ‘Checkout’ to start machine check
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Checkout menu
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Complete the instructions, then start the full test or any individual test
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Ventilator and gas check
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Tests bellows leaks, gas supply pressures, battery backup, ventilation, flow control and vaporizer operation.
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Circuit leak check
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Checks for manual circuit leaks and APL valve
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Circuit O2 cell check
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Low pressure leak check
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• A non-desflurane cassette should be used
• A squeeze bulb is necessary
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Agent delivery check
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Tests agent delivery system and cassette
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End
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