datex-ohmeda aisys cs machine checkoperation of the datex-ohmeda avance s5 author david ure created...

Datex-Ohmeda Aisys CS2: Machine check

Dr David Ure

Department of Anaesthesia

Royal Alexandra Hospital

Paisley

Contents

2

Page

Checklist reminder 3

Backup circuit check 4

Suction, stethoscope, monitor and drugs

5

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

Always use a checklist.

This is about safety, not memory.

3

Backup circuit check

+

or

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

5

On/off switch

6

7

Checkout button

Touch ‘Checkout’ to start machine check

Checkout menu

8

Complete the instructions, then start the full test or any individual test

Ventilator and gas check

9

Tests bellows leaks, gas supply pressures, battery backup, ventilation, flow control and vaporizer operation.

Circuit leak check

10

Checks for manual circuit leaks and APL valve

Circuit O2 cell check

11

Low pressure leak check

12

• A non-desflurane cassette should be used

• A squeeze bulb is necessary

Agent delivery check

13

Tests agent delivery system and cassette

End

14