Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Anesthesia - July 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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your providers to streamline cases safely and economically, they'll need to be sitting next to an anesthesia machine with these key fea- tures. 1. Increased safety Newer anesthesia machines run through a series of automated checks in less than 5 minutes to ensure that internal circuitry is functioning properly, that there aren't leaks within the system and that the ventila- tor functions optimally. Performing the checks manually on older machines was time-consuming. Providers would be tempted to skip the detailed check and simply pressurize the circuit to ensure there wasn't a major leak in the breathing bag. Now providers can prepare their workspace for the next case while the machine performs the entire automated safety check. Some machines let providers toggle between direct flow and total flow of oxygen, plus other carrier gases, which is especially helpful when a specific fraction of inspired oxygen (FiO2) is required. For example, when the risk of a surgical fire is heightened, FiO2 is usually limited to no more than 30%. With older machines, unless one did the math, achieving 30% often took several minutes of juggling the oxy- gen/air ratios until the correct value appeared. By switching to total flow control, the provider can simply dial in an FiO2 of 30%, at whatev- er total flow is desired, and the concentration delivered by the machine changes with the patient's next breath. 2. Added precision Anesthetic gas vaporizers are much more accurate, which makes it easier to fine-tune the amount of anesthetic that's delivered. Gas ana- lyzers also allow for the precise tracking of inspired and end-tidal concentrations of inhalational agents. Being able to accurately track 4 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 8

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