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
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